Managing Director – Special Investigations Unit
The Cigna Group
full-time
Posted on:
Location Type: Hybrid
Location: Bloomfield • Connecticut • Minnesota • United States
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Salary
💰 $239,900 - $399,800 per year
Job Level
About the role
- Provide strategic oversight of the Special Investigations Unit, setting direction for fraud, waste, and abuse (FWA) prevention, detection, and investigative operations across multiple business segments
- Align SIU strategy with enterprise objectives, regulatory expectations, and emerging industry risks
- Collaborate with key internal and external partners to strengthen end‑to‑end fraud controls
- Prepare and present Annual Anti-Fraud plan, including risks, new and emerging schemes, critical metrics and results
- Apply deeper proactive analytics across multiple business lines by leveraging advanced modeling, datamart assets, automated detection tools, and scalable analytic infrastructure
- Oversee end‑to‑end investigative processes, ensuring consistency, strong documentation, adherence to regulatory requirements, and application of best practices across all investigative teams
Requirements
- 12+ years of increasing responsibility in fraud, waste, and abuse investigations, audit or health care risk management, including 5+ years of people management experience
- Demonstrated leadership of multi-disciplinary investigative and analytic teams across complex organizations
- Deep understanding of CMS, state regulatory, commercial, and government program FWA requirements
- Deep understanding of health care industry practices
- Exceptional communication skills with the ability to influence senior leaders, external partners, and cross-functional teams
Benefits
- Health-related benefits including medical, vision, dental
- Well-being and behavioral health programs
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
fraud preventionfraud detectioninvestigative operationsproactive analyticsadvanced modelingautomated detection toolsanalytic infrastructuredocumentation practicesregulatory compliancebest practices
Soft Skills
strategic oversightleadershipcollaborationcommunicationinfluenceteam managementpresentation skillsproblem-solvingcritical thinkinginterpersonal skills