Cigna

Medicare Compliance Auditor

Cigna

530 Great Circle Rd, Nashville, TN 37228, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Conduct high quality compliance audits which support Cigna compliance with Medicare rules and regulations. Conduct internal mock CMS Program Audits related to SNP-MOC and ODAG clinical decision making. Facilitate and manage external CMS regulatory audits of Cigna. Validate that Medicare regulations have been implemented correctly by Cigna. Maintain good working relationships with internal parties to ensure open lines of communications and timely responses to compliance questions. Create a sense of urgency with internal business partners to achieve objectives. Remain aware of industry compliance changes and/or trends.

Where is this job?
This job is located at 530 Great Circle Rd, Nashville, TN 37228, USA
Job Qualifications
  • 3+ years of leadership managing projects

  • Strong knowledge of Medicare and Medicaid regulations

  • Clinical background required, RN or LPN preferred.

  • Prior audit experience (compliance audit, internal audit and/or financial audit); Needed

Required Skills
  • Analytical skills (data driven)

  • Compliance reporting skills

  • Time management competent

  • Project management of external regulatory audits

Soft Skills
  • Prioritizing skills

  • Problem Solving Skills

  • Flexibility/Adaptability

  • Detail Oriented and Organized

  • Multi-tasker

  • Verbal and Written Communication

Compensation

According to JobzMall, the average salary range for a Medicare Compliance Auditor in 530 Great Circle Rd, Nashville, TN 37228, USA is $47,440-$77,934.

Additional Information
Cigna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedApril 15th, 2022
Apply BeforeMay 22nd, 2025
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About Cigna

Cigna Corp. provides medical, dental, disability, life and accident insurance and related products and services to businesses, governmental and non-governmental organizations and individuals. It operates through following segments: Global Health Care; Global Supplemental Benefits; Group Disability and Life; Other Operations; and Corporate.

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