Medicare Provider Data Quality

1 month ago

Nashville, Tennessee, United States The Cigna Group Full time
The job profile for this position is Operations Advisor, which is a Band 4 Senior Contributor Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply

Our people make all the difference in our success.

Summary

The Audit, Controls & Compliance Advisor will support the Internal Monitoring function within the Provider Data Quality & Accuracy (PDQA) team. They will help execute monitoring programs to identify data accuracy issues which negatively impact our ability to meet specific goals and metrics, as defined by business and regulatory requirements.

Essential Functions and Responsibilities

  • Support the development and implementation of a comprehensive internal audit plan.
  • Conduct audits to assess the effectiveness of internal controls and regulatory compliance.
  • Prepare detailed audit reports with findings, risks, and recommendations for improvements.

Qualifications

Candidates should model our team's core values – Communicate Effectively and Instills Trust. They should also have the following skillset and characteristics.

Preferred Qualifications:

  • Bachelor's degree
  • At least 5 years of relevant experience, i.e. internal audit, compliance, risk management.
  • Strong knowledge of regulatory requirements, internal controls, and audit standards.
  • Preferred experience working in SAM3 or similar auditing tools.
  • Demonstrated ability to work at both conceptual & detailed levels.
  • Willingness to share opinions and take risks.
  • Creative thinker with ability to think outside the box & translate strategies into actions.
  • Must possess strong organizational skills with ability to manage multiple priorities simultaneously.
  • Strong, clear, concise, and analytical written and oral communication skills.

Direct reports

This position will not have direct reports.

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 80, ,300 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.

We want you to be healthy, balanced, and feel secure. That's why 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) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.

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.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

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