Payment Integrity Quality Review and Audit Associate Analyst

Quality Review Audit Associate Analyst

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

Your responsibilities will include:
• Identifying and preventing fraudulent, wasteful and abusive expenses from around the globe
• Perform a variety of prepay focused cost avoidance activities including:
o Identifying suspicious activity and submission to the designated FWA and SIU team for investigation
o Identifying internal operational errors to prevent incorrect payment being made
o Electronic outreaches to providers requesting documents and confirming information
o Occasional telephonic outreach to providers in local region to negotiate

savings
o Verification of charges and services
o Partner with other areas within Payment Integrity to share best practices
o Analyze data on prior payments to...