POSITION SUMMARYThis role will serve as a senior individual contributor responsible for designing, building, and executing a continuous monitoring program within the Provider Experience & Operations (PX&O) function. This role will leverage data, analytics, and automation to proactively identify emerging risk considerations, with an initial focus on monitoring SOX and SOC controls. The individual will partner closely with the Operational Health Risk and Controls team and operations leadership to design, detect and address potential control breakdowns before they escalate. The continuous monitoring program will also serve as a key monitoring control across select business process controls, enabling timely insights and risk mitigation across PX&O operations.
Candidates who reside within 50 miles of the following locations will be required to perform onsite 3 days per week: Bloomfield, CT; Chattanooga, TN; Denver, CO; St. Louis, MO; and Scottsdale, AZ. The Data & Automation Continuous Controls Monitoring Lead will:
- Design and implement a continuous monitoring framework that leverages data analytics and automation to identify control gaps and emerging risks.
- Develop and maintain dashboards, reports, and analytical models to monitor SOX and SOC controls across provider data management and claim operations.
- Collaborate with Senior IC roles and operational teams to interpret monitoring results, investigate anomalies, and recommend corrective actions.
- Establish key performance indicators (KPIs) and thresholds to trigger alerts for potential control breakdowns.
- Support audit readiness by providing data-driven insights and evidence of control effectiveness.
- Continuously enhance monitoring routines to expand coverage across additional business process controls and risk domains.
- Promote a data-driven culture of risk awareness and proactive issue resolution across PX&O.
Primary ComponentsContinuous Monitoring: Lead the development and execution of a continuous monitoring program that uses data, analytics, and automation to proactively identify control issues and emerging risks. Ensure monitoring routines are aligned with SOX/SOC requirements and integrated into business-as-usual processes.Collaboration: Partner with the Operational Health Risk and Controls team, provider and claims operational teams, audit, and technology stakeholders to ensure monitoring insights are actionable and drive timely remediation. Foster a collaborative environment that supports shared accountability for control effectiveness.Communication: Translate analytical findings into clear, actionable insights for diverse audiences. Provide regular updates on monitoring program performance, risk trends, and control health to key stakeholders.Key Qualifications- Bachelor's degree in Data Analytics, Information Systems, Risk Management, or related field preferred
- 6+ years of experience in data analytics, risk management, or audit functions, with a focus on control monitoring and automation.
- Experience designing and implementing continuous monitoring programs in complex operational environments.
- Strong understanding of SOX and SOC control frameworks and audit requirements.
- Proficiency in data visualization tools (e.g., Tableau, Power BI) and analytics platforms (e.g., SQL, Python, R).
- Proficiency in Alteryx for data preparation, transformation, and automation.
- Experience in RPA bot design and monitoring to support control automation.
- Experience in healthcare operations or payer-provider environments preferred.
- Excellent communication and stakeholder engagement skills.
- Demonstrated ability to translate data insights into risk mitigation strategies.
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 112,800 - 188,000 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.
At The Cigna Group, 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), 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, click here.
About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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: for support. Do not email 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.
Never miss an opportunity! Create an alert based on the job you applied for.
