Managing Director, Special Investigations Unit

The Cigna Group

Multiple Locations
Base: 239,900 - 399,800 usd / yearly; bonus/equity...
Strategic oversight of special investigations unit
Apply advanced analytics and ai
Oversee end-to-end investigative processes
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

Job Summary

  • 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.
  • Apply deeper proactive analytics across multiple business lines by leveraging advanced modeling, datamart assets, automated detection tools, and scalable analytic infrastructure to strengthen anti-fraud controls.
  • At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.

Matching Summary

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.

Salary

Base: 239,900 - 399,800 USD / yearly; Bonus/Equity: Eligible for annual bonus and long term incentive plan; Benefits: Comprehensive range of benefits including medical, vision, dental, well-being programs, 401(k), life insurance, tuition reimbursement, 18+ PTO days, paid holidays

Skills & Requirements

Must-have

  • Strategic oversight of Special Investigations Unit
  • Apply advanced analytics and AI
  • Oversee end-to-end investigative processes
  • Strengthen outward-facing SIU reporting
  • Ensure SIU operations meet regulatory requirements

Nice-to-have

  • Championing talent development and retention
  • Enterprise spokesperson on FWA trends
  • Comfort operating in a data-rich environment
  • Consistent demonstration of sound judgment

Key Requirements

  • 12+ years of increasing responsibility in FWA investigations, audit or health care risk management
  • 5+ years of people management experience
  • Demonstrated leadership of multi-disciplinary teams
  • Deep understanding of CMS, state regulatory, commercial, and government program FWA requirements
  • Deep understanding of health care industry practices
  • Exceptional communication skills

Work Rights

Not specified

Tailored Resume

Cover Letter