Provider Data Manager - Cigna Healthcare - Remote

The Cigna Group-posted 2 months ago
$96,000 - $160,000/Yr
Full-time • Senior
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The Provider Data Manager is a strategic leadership role responsible for driving data quality initiatives, managing compliance reporting, and leading a high-performing team. This position plays a critical role in ensuring the accuracy and integrity of provider demographic data across enterprise systems, supporting regulatory filings, and enhancing the overall provider experience to our members and to each regulatory entity. The ideal candidate brings expertise in data analysis, project management, and healthcare operations, with a strong ability to lead cross-functional initiatives and deliver measurable outcomes.

  • Lead, coach, and develop a team of five direct reports.
  • Foster a culture of accountability, continuous improvement, and professional growth.
  • Oversee stretch assignments and strategic projects from initiation to completion.
  • Manage the end-to-end lifecycle of compliance filings, including initiative-taking planning, tracking, and execution.
  • Ensure timely and accurate submission of state-mandated reports related to network adequacy and provider data.
  • Conduct audits and inspections of provider data using tools such as Cognos, MS Access, and Excel.
  • Perform root cause analysis and data mining to identify systemic issues and recommend corrective actions.
  • Collaborate with matrix partners to validate data defects and implement process improvements.
  • Lead cross-functional projects with clear milestones, deliverables, and stakeholder engagement.
  • Facilitate steering committee meetings and provide regular updates to leadership.
  • Coordinate intake tools and filing inventory to ensure alignment with business priorities.
  • Drive ongoing data remediation efforts and ensure alignment with enterprise standards.
  • Analyze provider demographic, contract, and reimbursement data to identify trends and opportunities.
  • Support business intelligence initiatives through reporting and visualization tools.
  • Bachelor’s degree or equivalent experience.
  • 3+ years in data quality, with proven leadership and project management experience.
  • Advanced Excel skills (VLOOKUP, Pivot Tables/Charts, Transpose functions).
  • Proficient in Word and PowerPoint.
  • Strong analytical and critical thinking skills.
  • Effective communicator with the ability to tailor messages to diverse audiences.
  • Highly organized with the ability to manage multiple priorities and drive results.
  • Strategic perspective with a focus on ROI and long-term impact.
  • Prior exposure to audits, regulatory filings, and quality improvement initiatives.
  • Experience with IF formulas, Flash Fill, Quick Analysis, Power View, MS Access, MS Project.
  • 4+ years in healthcare operations, provider services, or contracting.
  • Familiarity with provider data management systems (e.g., HCPM, CPF-Central Provider File, PRDS, Inventory Manager, & industry standard intake tools (e.g., IMS-Information Management Services, Wrike, etc.).
  • Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • 401(k) with company match.
  • Company paid life insurance.
  • Tuition reimbursement.
  • A minimum of 18 days of paid time off per year and paid holidays.
  • Annual bonus plan eligibility.
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