Medicare Provider Data Quality & Accuracy Internal Monitoring Advisor

Nashville, TN, United States

Job Description


SummaryThe 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 ResponsibilitiesSupport 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.QualificationsCandidates should model our team\xe2\x80\x99s core values \xe2\x80\x93 Communicate Effectively and Instills Trust. They should also have the following skillset and characteristics.Preferred Qualifications:Bachelor\xe2\x80\x99s degreeAt 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 reportsThis 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 80,600 - 134,300 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\xe2\x80\x99s why you\xe2\x80\x99ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you\xe2\x80\x99ll 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 .About The Cigna GroupDoing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we\xe2\x80\x99re 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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.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.

The Cigna Group

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Job Detail

  • Job Id
    JD4402978
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    $80600 - 134300 per year
  • Employment Status
    Permanent
  • Job Location
    Nashville, TN, United States
  • Education
    Not mentioned