Global Director of Payment Integrity & Investigations
Core
Build and advance the Payment Integrity and Investigations capability across Cigna International Health to protect healthcare affordability, prevent fraud/waste/abuse, and drive financial value.
Role type
Senior leadership director (payment integrity & investigations)
Builds
Integrated operating model for pre-payment controls, post-payment review, analytics, investigations, and recovery
Domain
Healthcare (international markets)
Required skills
Strategic planning, operating model design, fraud detection, data analytics, team leadership, regulatory compliance, financial recovery, stakeholder management
Preferred skills
Machine learning/AI implementation, advanced analytics, clinical expertise, global market execution
Technologies
Machine learning, artificial intelligence, automation, data mining
Responsibilities
Define strategic vision and roadmap for Payment Integrity; lead pre-payment prevention and post-payment review; manage investigations for fraud/waste/abuse; own financial and operational performance; enable data and analytics strategy; establish governance and compliance frameworks; lead global multidisciplinary team
Seniority
Director, strategic leadership & team management