Job Description
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.
Responsibilities: - 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.
Qualifications: - 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.
- Mon-Fri work schedule to support Cigna Healthcare's core business hours of 8:00-5:00pm EST with an opportunity for flexibility in schedule.
- Role may sometimes require flexibility to support west coast calls with state regulators.
Preferred Qualifications: - 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.).
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 83,900 - 139,900 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 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. For more details on our employee benefits programs, visit Life at Cigna Group .
About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Job Tags
Permanent employment, Contract work, Local area, Remote work, Work from home,