Cigna Healthcare is looking for a Reference Data Management Quality Auditor – Provider Data Quality to safeguard the accuracy and integrity of provider information. You will ensure data quality across PRM and PAS systems, focusing on auditing, validation, and compliance.
What You'll Do
- Audit data cleansing processes for provider records, ensuring adherence to established standards and guidelines.
- Verify the accuracy and completeness of mass uploads or updates to provider data in PRM and PAS.
- Confirm that any changes to provider data elements meet quality and compliance requirements.
- Investigate discrepancies or recurring issues in provider data and recommend corrective actions.
- Maintain detailed audit logs, prepare reports on findings, and present trends or risks to leadership.
- Identify gaps in data management processes and propose enhancements to reduce errors and improve efficiency.
- Ensure provider data aligns with regulatory requirements and internal policies.
What We're Looking For
- Strong understanding of provider data management systems (PRM, PAS – Globalcare, Diamond, Actisure).
- Experience in data quality auditing, data cleansing, and validation processes.
- Proficiency in Excel (advanced formulas), and familiarity with reporting tools like Tableau.
- Ability to interpret complex business rules and apply them consistently.
- Excellent attention to detail and organizational skills.
- Strong communication skills for stakeholder engagement and reporting.
- A minimum of 2 years of experience in health insurance or international healthcare provider data management.
- Analytical mindset with capability to perform root cause analysis and recommend solutions.
Nice to Have
- Experience with bulk data processing tools and automation solutions.
- Knowledge of regulatory compliance related to provider data.
- Familiarity with audit frameworks and continuous improvement methodologies.
Technical Stack
- Excel
- Tableau
Team & Environment
This role is part of the Reference Data Management vertical within the Business Excellence organization in International Health Delivery Services (IHDS). You will report to a Reference Data Management Senior Supervisor.
Work Mode
This is a local, in-office position based in Bangalore.
