Business Analytics Advisor, Payment Integrity - Cigna Healthcare - Remote

POSITIION SUMMARYWe are seeking a highly motivated, forward-thinking, and innovative analytics and data science leader to join Cigna's Payment Integrity team as a Business Analytics Advisor. This role plays a critical leadership function in advancing AI-enabled analytics, automation, enterprise data initiatives, and technical modernization efforts to improve claim accuracy, scalability, and operational efficiency.The ideal candidate brings deep expertise in data strategy, data mapping, automation, AI-assisted analytics, predictive modeling, and enterprise technology, with a strong ability to lead complex initiatives, reduce technical debt, and drive process maturity through structured, well-documented, and scalable solutions.This role will help shape the future of Payment Integrity through advanced analytics, artificial intelligence, machine learning, automation, enterprise data strategy, and technical modernization initiatives that improve payment accuracy, reduce waste, prevent fraud, and deliver measurable business outcomes.This role is part of Cigna's Payment Integrity organization, which is focused on ensuring accurate, efficient, and compliant claim adjudication while reducing unnecessary medical spend across the enterprise. Payment Integrity delivers value through pre-pay and post-pay editing, advanced claim analytics, fraud, waste and abuse prevention, and recovery optimization—all supported by a rapidly evolving data and technology ecosystem.The successful candidate will serve as a strategic data science partner, applying advanced analytical techniques, statistical modeling, predictive analytics, and AI-enabled methodologies to identify opportunities for improved payment accuracy, operational efficiency, fraud and waste detection, and claim editing optimization. This role requires the ability to transform complex healthcare data into scalable business solutions while partnering closely with analytics, engineering, product, and business stakeholders to accelerate innovation and measurable enterprise value.This position will support enterprise initiatives focused on improving claims accuracy, reducing waste and fraud, increasing transparency, and scaling impact through automation, AI-driven insights, and reusable data assets to deliver measurable financial and operational outcomes.Key ResponsibilitiesPayment Integrity Analytics & Business LeadershipExpand team expertise in external data sources and claim editing integrations to support scalable solutions.Standardize and format data for optimal use within claim editing programs, ensuring consistency and efficiency.Collaborate with the Data Analytics team to develop complex editing logic and proof-of-concept models.Interpret query languages using data dictionaries and facilitate translation through newly implemented editing tools and data sources.Lead research and updates for the Unified Claim Record (UCR) and associated data streams.Partner with cross-functional teams to migrate SAS-...