Remote Provider Data Lead (Data Quality)

Evernorth Health Services; United States; Hybrid; USD 33,000 - 50,000; Full time

Job summary

The Cigna Group, via Evernorth Health Services, seeks a Provider Data Lead Representative to maintain provider data across core systems with accurate updates and terminations. This role supports data quality and provider experience by resolving fallout and ensuring downstream integrity.

You will execute data changes, perform remediation, validate data across systems, and participate in testing and enhancements, requiring knowledge of contracts, networks, and provider data structures.

Qualifications

• 2+ years of proficiency using CPF and HCPM.
• Understand provider structures: Practitioners, Groups, Facilities, Ancillaries.
• Knowledge of contracts, networks and Market Guidebook standards.
• Working knowledge of related DAL tooling and data flow.

Responsibilities

• Execute provider data additions, terminations, and updates per procedures.
• Perform data remediation in HCPM, CPF, and Facets for accuracy.
• Apply contract terms and network rules to ensure correct data outcomes.
• Validate data accuracy across systems and ensure downstream transmission.
• Identify risks in data load processes and take corrective action.
• Collaborate within a team and participate in testing/validation activities.

Skills

Adaptability & Learning Agility

Problem Solving & Critical Thinking

Communication & Collaboration

Education

High school diploma or GED

Some college coursework preferred

Tools

DAL

Inventory Manager

ETQS

Activity Manager

Provider Manager

Renaissance

Knowledge Exchange

Job description

The Cigna Group, via Evernorth Health Services, seeks a Provider Data Lead Representative to maintain provider data across core systems with accurate updates and terminations. This role supports data quality and provider experience by resolving fallout and ensuring downstream integrity.

You will execute data changes, perform remediation, validate data across systems, and participate in testing and enhancements, requiring knowledge of contracts, networks, and provider data structures.