Inspector/a Hospitalario - Cigna Healthcare
Core
Hospital inspector acting as the company's eyes in hospitals and the hospital's voice in the company to control medical spending and optimize patient stays.
Role type
Senior operational inspector (health insurance)
Builds
Medical cost control and hospital billing optimization for Cigna Healthcare clients
Domain
Health insurance / Hospital administration
Deliverable
dashboards & analysis
Required skills
Medical cost control, hospital billing review, FWA (Fraud, Waste and Abuse) detection, electronic billing management, provider negotiation support, census tracking
Preferred skills
Clinical hospital experience, Nursing degree
Responsibilities
Control hospital census and admission tracking, Review and control hospital billing, Improve patient experience for admitted patients, Support internal hospital agreement negotiations, Control and manage medical spending, Detect fraud, waste, and abuse
Seniority
Mid-level, hands-on operational role