Cigna Claims Jobs in Colorado (NOW HIRING)

Join a team that turns clinical data into clear insight and action. As a Business Analytics Advisor, you will help build trend prediction capabilities across clinical and affordability metrics within the CHC Risk Ecosystem. You will connect claims, authorization, service category, diagnosis, and episode-of-care data to help clinical, analytics, finance, and affordability partners understand risk drivers and improve decisions.

• Design and build clinical risk indicators, projection insights, and key performance indicators within the CHC Risk Ecosystem.

• Partner with clinical, finance, analytics, affordability, technical, and visualization teams to create practical analytic capabilities that improve trend analysis and claims insights.

• Translate relationships across authorizations, claims, diagnostic categories, service categories, and episodes of care into clear clinical and financial insights.

• Lead end-to-end development of clinical insights and affordability opportunities, with a focus on continuous improvement and measurable value.

• Use internal and external data to connect clinical performance, marketplace trends, and cost-of-care drivers.

• Build trusted partnerships across matrixed teams and present complex findings in a clear, actionable way for clinical and non-clinical stakeholders.

Required Qualifications

• 5+ years of experience in health plan or health system data analytics, affordability analytics, clinical analysis, or a related healthcare analytics function.

• Strong knowledge of healthcare data, including claims, provider data, clinical information, diagnosis codes, authorizations, cost, quality, and health plan performance measures.

• Advanced SQL skills and experience using database management systems to analyze large datasets.

• Ability to translate clinical findings into financial impact estimates and clear recommendations for non-clinical stakeholders.

• Strong analytical, storytelling, collaboration, and business partnership skills in a matrixed environment.

Preferred Qualifications

• Bachelor's degree in analytics, healthcare, business, finance, informatics, or a related field.

• Experience with Databricks or similar cloud-based data platforms.

• Experience using AI-enabled tools to improve analytics, code development, documentation, or insight generation (e.g. Claude Code).

• Familiarity with clinical coding concepts, clinical operations, affordability programs, or predictive analytics methods.

• Familiarity querying and using EPIC platform data.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 98,200 - 163,600 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.