Full time
Cigna
Franklin, TN, USA
Key Responsibilities Strategic Leadership & Enterprise Influence Provide strategic oversight of the Special Investigations Unit, setting direction for fraud, waste, and abuse (FWA) prevention, detection, and investigative operations across multiple business segments. Align SIU strategy with enterprise objectives, regulatory expectations, and emerging industry risks, ensuring Cigna maintains a leadership position in combating provider and member fraud. Collaborate with key internal and external partners to strengthen end‑to‑end fraud controls. Prepare and present Annual Anti-Fraud plan, including risks, new and emerging schemes, critical metrics and results. Advanced Analytics, AI, & Data Infrastructure Apply deeper proactive analytics across multiple business lines by leveraging advanced modeling, datamart assets, automated detection tools, and scalable analytic infrastructure to strengthen anti‑fraud controls. Expand analytic toolsets...

