Medicare Provider Data Quality & Accuracy Internal Monitoring Advisor

Cigna - Bloomfield, CT

Full-time

Hybrid - Bloomfield, CT

Insurance Carriers and Related Activities

About the position

The Audit, Controls & Compliance Advisor will play a crucial role in supporting the Internal Monitoring function within the Provider Data Quality & Accuracy (PDQA) team. This position focuses on executing monitoring programs to identify data accuracy issues that hinder the achievement of specific business and regulatory goals. The advisor will be responsible for developing and implementing a comprehensive internal audit plan, conducting audits, and preparing detailed reports with findings and recommendations.

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 preferred.
• 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.
• Demonstrated ability to work at both conceptual and detailed levels.
• Willingness to share opinions and take risks.
• Creative thinker with the ability to think outside the box and translate strategies into actions.
• Strong organizational skills with the ability to manage multiple priorities simultaneously.
• Strong, clear, concise, and analytical written and oral communication skills.

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• Well-being and behavioral health programs
• 401(k) with company match
• Company paid life insurance
• Tuition reimbursement
• Minimum of 18 days of paid time off per year
• Paid holidays