Quality Review and Audit Analyst

As a Quality Review & Audit Analyst working on the Payment Integrity Team, you will directly support Cigna’s affordability commitment within Cigna International’s business.

Your responsibilities will include:

1. Identifying and preventing fraudulent, wasteful and abusive expenses from around the globe
2. Perform a variety of prepay focused cost avoidance activities including:
3. Identifying suspicious activity and submission to the designated FWA and SIU team for investigation
4. Identifying internal operational errors to prevent incorrect payment being made
5. Electronic outreaches to providers requesting documents and confirming information
6. Verification of charges and services
7. Negotiation on high cost provider claims
8. Partner with cost containment teams in other geographies to share best practices
9. Analyze data on prior payments to identify additional opportunities
10. Participate in projects to improve business processes
11. Working collaboratively in a team environment to efficiently utilize each individual’s strengths
12. Working closely with other departments to ensure our activities do not have an unnecessary negative impact on our customers
13. Providing feedback to other departments in order to put in place safeguards to prevent further risk exposure

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• Interpersonal Savvy

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together with colleagues worldwide, we aspire to transform health services, making them more affordable and accessible to millions.

We are a force of health services innovation through our unmatched expertise, bold action, fresh ideas, and an unwavering commitment to patient-centred care. When you work with one of our subsidiaries or us, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?

Qualified applicants will be considered without regard to race, colour, 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 about public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require a reasonable accommodation in completing the online application process, please email [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

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