Global Head, Payment Integrity & Investigations

Cigna Healthcare

Madrid

On-site

EUR 150,000 - 190,000

Full time

9 days ago

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Job summary

Cigna Healthcare, a division of The Cigna Group, seeks a Director to build and advance the Payment Integrity and Investigations capability across its international health markets. Reporting to senior leadership, the role protects affordability, strengthens payment accuracy and drives measurable financial and operational value across regions.

The Director will define the strategic vision, operating model and roadmap for Payment Integrity, collaborating with clinical, analytics, compliance and

Qualifications

  • 15+ years in healthcare payment integrity or related operations.
  • Proven success leading complex, multidisciplinary teams.
  • Strong knowledge of healthcare claims, reimbursement, coding and recovery practices.
  • Ability to design operating models, governance and analytics transformations.
  • Willingness to travel internationally as required.
  • Bachelor's degree; advanced degree preferred.

Responsibilities

  • Lead Payment Integrity and Investigations strategy across international markets.
  • Define operating model with governance, data, technology and partnerships.
  • Oversee pre- and post-payment controls and analytics.
  • Partner with Compliance, Legal, Privacy, Security, HR and regulators.
  • Drive measurable savings and improve financial integrity.

Skills

Strategic leadership
Executive communication
Stakeholder management
Healthcare analytics
Data governance
International experience
Travel willingness
Multidisciplinary leadership

Education

Bachelor's degree in Healthcare Administration
Advanced degree preferred

Job description

Cigna Healthcare, a division of The Cigna Group, seeks a Director to build and advance the Payment Integrity and Investigations capability across its international health markets. Reporting to senior leadership, the role protects affordability, strengthens payment accuracy and drives measurable financial and operational value across regions.

The Director will define the strategic vision, operating model and roadmap for Payment Integrity, collaborating with clinical, analytics, compliance and

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