Cigna
Fraud Senior Analyst-Evernorth-Remote
This job is now closed
Job Description
- Req#: 24015172
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engage in meaningful work that improves the health and vitality of clients and patients
- Work remotely with a reliable internet connection
- In-depth involvement in complex fraud and abuse investigations
What to Expect (Job Responsibilities):
- Analyze information gathered from investigations and report findings with written summaries and recommendations
- Lead virtual interviews with members, providers, and pharmacies to gather necessary information
- Prepare detailed reports to track and report on investigations
- Compile evidence package referrals for internal and external parties, including law enforcement and medical boards
- Develop and execute investigation plans addressing risks and formalizing sound recommendations
What is Required (Qualifications):
- Bachelor’s Degree or pharmacy benefit management experience in lieu of degree
- Minimum of 1+ years of experience in fraud or pharmacy
- Strong computer skills, including proficiency in Excel, Access, and Word
- Clear and concise verbal and written communication skills
- Ability to work from home with a stable internet connection of at least 10Mbps download/5Mbps upload
How to Stand Out (Preferred Qualifications):
- Experience in fraud investigation or related healthcare fields
- Advanced analytical skills for complex case development
- Familiarity with audit tools and methodologies
#HealthcareServices #FraudInvestigation #CareerOpportunity #RemoteWork #HealthImprovement
"We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
Cigna is an American worldwide health services organization based in Bloomfield, Connecticut.
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