Remote Cigna Prior Authorization Jobs in Raleigh, NC

The Clinical Analytics team is expanding how data analytics improves health care-making it more personalized, transparent, and affordable. As a Business Analytics Advisor, you will lead health services research that shape clinical programs, inform strategy, and demonstrate measurable value for customers and patients. This role is ideal for an experienced analytics professional who enjoys translating complex healthcare data into clear insights that influence real-world decisions.

Responsibilities

• Lead complex analytic initiatives that evaluate clinical programs and solutions, delivering clear proof of value in cost, quality, and outcomes.

• Design and execute rigorous evaluation approaches, including systematic literature review, meta-analysis, matched case-control studies and experimental or quasi-experimental designs.

• Develop and apply statistical and predictive models to stratify risk, assess behavior change, and identify improvement opportunities.

• Translate large-scale healthcare data into actionable insights and recommendations for business and clinical leaders.

• Partner with stakeholders across clinical, operations, product, pharmacy, and behavioral health teams to shape analytic strategy and testing plans.

• Communicate results clearly to non-technical audiences, influencing decisions through compelling data storytelling.

• Uphold analytic standards, methods, and rigor to ensure results can be confidently used to drive material improvements.

Qualifications

Required

• Master's degree or PhD in biostatistics, epidemiology, health economics, health services research, or a related field.

• 3+ years of experience in healthcare analytics, data science, or outcomes research.

• Strong foundation in statistical modeling, evaluation research design, and applied analytics.

• Proficiency in at least one major programming or analytic language such as Python, R, or SQL.

• Experience working with healthcare data sets, including claims, utilization, and diagnostic codes.

• Ability to work independently on complex problems while collaborating effectively in a matrixed organization.

• Clear communication skills and comfort influencing stakeholders at multiple levels.

Preferred

• Recent experience with program evaluation, outcomes research, or health services research methods.

• Background presenting findings through publications, presentations, or internal thought leadership.

• Growth mindset, curiosity, and enthusiasm for continuous improvement in how analytics drives impact.

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.