Payment Integrity Manager – Post Payment
The Cigna Group
full-time
Posted on:
Location Type: Hybrid
Location: Chattanooga • Arizona • Colorado • United States
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Salary
💰 $87,100 - $145,100 per year
About the role
- Lead and develop a high‑performing team focused on maximizing internal overpayment identification and recoveries
- Partner with pre‑pay analytics to shift post‑payment overpayment opportunities upstream where possible
- Expand and integrate internal overpayment programs across products and lines of business to increase financial impact
- Collaborate with internal partners (e.g., Client Services, Contracting, Legal, Compliance) to identify and prioritize overpayment initiatives and audits
- Serve as the subject matter expert for internal overpayment activities, providing education, analysis, reporting, and expectation management to stakeholders
- Manage partnerships with recovery vendors, ensuring timely and accurate responses and monitoring project performance
- Ensure program compliance with organizational policies and regulatory requirements
- Lead and execute projects within tight timeframes to meet financial and operational goals
- Partner with Technology to enhance systems and tools supporting recovery strategies and business processes
- Build and execute a people strategy that attracts, develops, and retains talent through coaching, performance management, and succession planning
Requirements
- Bachelor’s degree or higher strongly preferred or equivalent work experience required
- 5+ years of experience leading and developing high‑performing, diverse operations teams with direct bottom-line impact preferred
- 5+ years of experience managing large data sets, including claims data; experience with Payment Integrity vendors strongly preferred
- Claim auditing experience required and advanced knowledge of provider contracts, reimbursement policies, and claim operations required
- Proven ability to meet or exceed financial and operational goals and to lead change initiatives
- Strong analytical, problem‑solving, and stakeholder partnership skills; comfortable challenging the status quo to drive improvement
- Proficiency with Microsoft tools and databases
Benefits
- Comprehensive range of health-related benefits including medical, vision, dental
- 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
data analysisclaim auditingprovider contractsreimbursement policiesclaim operationsoverpayment identificationfinancial impact analysisproject managementperformance managementdata management
Soft Skills
leadershipteam developmentanalytical skillsproblem-solvingstakeholder partnershipcoachingchange managementcommunicationcollaborationstrategic thinking