Medicare Provider Data Quality Specialist

7 days ago


Bloomfield, Connecticut, United States The Cigna Group Full time
About the Role

The Cigna Group is seeking a highly skilled Medicare Provider Data Quality Specialist to join our team. As a key member of our Provider Data Quality & Accuracy (PDQA) team, you will play a critical role in supporting the Internal Monitoring function.

Key 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.
Requirements
  • Bachelor's degree in a relevant field.
  • At least 5 years of relevant experience in internal audit, compliance, or risk management.
  • Strong knowledge of regulatory requirements, internal controls, and audit standards.
  • Preferred experience working in SAM3 or similar auditing tools.
What We Offer

We offer a comprehensive range of benefits, including medical, vision, dental, and well-being and behavioral health programs. You will also enjoy a competitive salary, 401(k) with company match, company paid life insurance, tuition reimbursement, and a minimum of 18 days of paid time off per year.

About The Cigna Group

At The Cigna Group, we are 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.



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