Provider Data Lead Representative

The Cigna Group

. Execute provider data additions, terminations, and updates .

Posted 10/20/2026full-timeRemote • United StatesSenior💰 $24 - $36 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider data management, including data additions, terminations, and updates, while ensuring data accuracy and integrity across multiple systems. Proficient in conducting root cause analysis and implementing solutions to enhance operational efficiency and support network quality.

Highest-signal resume keywords

Provider Data ManagementData Remediation in HCPM and CPFRoot Cause AnalysisKnowledge of Provider StructuresAnalytical Problem Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data Accuracy ValidationData Flow UnderstandingContract Terms ApplicationQuality Audit ImplementationOperational Risk IdentificationData Load Process ManagementPerformance AnalysisSystem Enhancement TestingProvider Network UpdatesData Integrity Maintenance

Soft Skills

CommunicationCollaborationTime ManagementPriority ManagementProblem Solving

Tools & Technologies

HCPMCPFFacetsProclaimDALInventory ManagerETQSActivity ManagerProvider ManagerKnowledge Exchange

Industry Keywords

Provider StructuresPractitionersGroupsFacilitiesAncillariesMarket Guidebook Standards

About the role

Key responsibilities & impact

Execute provider data additions, terminations, and updates
Perform data remediation in HCPM, CPF, and Facets
Implement updates identified through quality audits and performance analyses
Apply contract terms and network business rules
Identify operational risks and issues during data load processes and take corrective action
Validate data accuracy across multiple systems and ensure transmission to downstream platforms
Conduct root cause analysis and implement solutions
Analyze intake requests from matrix partners and execute provider, network, or criteria-level updates
Maintain production and quality standards and document activities in the Daily Activity Log
Participate in testing, validation, and checkout activities for system enhancements
Collaborate within a team while maintaining accountability for individual results
Maintain, correct, and ensure the integrity of provider data to support network quality and improve customer and provider experience

Requirements

What you’ll need

High school diploma or GED required; some college coursework preferred
2+ years of demonstrated proficiency using CPF and HCPM required
Proclaim and Facets preferred
Strong understanding of data flow and downstream system impacts
Knowledge of provider structures, including Practitioners, Groups, Facilities, and Ancillaries required
Solid understanding of contracts, networks, and applicable Market Guidebook standards highly preferred
Working knowledge of DAL, Inventory Manager, ETQS, Activity Manager, Provider Manager, Renaissance, and Knowledge Exchange highly preferred
Internet connection through a cable broadband or fiber optic internet service provider with at least 10Mbps download/5Mbps upload when working at home
Ability to perform analytical problem solving, root cause analysis, systems thinking, communication, collaboration, time and priority management, and work effectively in ambiguous or evolving environments

Benefits

Comp & perks

Annual bonus plan eligibility
Medical, vision, and dental benefits starting on day one
Well-being and behavioral health programs
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Cable broadband or fiber optic internet service requirement for home working, with at least 10Mbps download/5Mbps upload