The Cigna Group is seeking a Fraud Advisor to support investigations of fraud, waste, and abuse in the healthcare sector. The role requires strong analytical skills, independent judgment, and collaboration across various teams to enhance program integrity and operational efficiency
Job Summary
The Fraud Advisor supports the identification, development, and resolution of fraud, waste, and abuse (FWA) investigations across the healthcare environment.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health including medical, vision, dental, and well-being programs starting day one.
Qualified applicants will be considered without regard to race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran status, religion, national origin, and other protected characteristics.
Matching Summary
Match Score: 85
The Cigna Group is seeking a Fraud Advisor to support investigations of fraud, waste, and abuse in the healthcare sector. The role requires strong analytical skills, independent judgment, and collaboration across various teams to enhance program integrity and operational efficiency.
Salary
Base: 85,400 - 142,300 USD yearly; Bonus/Equity: Eligible for annual bonus plan; Benefits: Medical, vision, dental, 401(k), life insurance, tuition reimbursement, paid time off and holidays
Skills & Requirements
Must-have
fraud waste and abuse investigations
data analysis and investigative judgment
collaboration with cross-functional partners
process improvement initiatives
project execution and oversight
remote work with broadband internet
Nice-to-have
training and case staffing support
trend identification and risk mitigation
enterprise fraud prevention strategies
Key Requirements
experience with prescriber and pharmacy fraud concerns
ability to work independently with minimal oversight
broadband internet with minimum 10Mbps download/5Mbps upload
eligibility for annual bonus plan
compliance with tobacco-free policy in certain states