Risk Management Specialist performing fraud analysis for Greenlight, a family fintech company. Supporting customer service and improving fraud detection processes for efficient operations.
About the role
- Technology Risk & Controls Senior Advisor at Cigna Group overseeing risk governance in PX&O. Focused on operational risk management in healthcare provider data and claims operations.
Responsibilities
- Serve as a senior individual contributor in building and sustaining a robust control governance program within the Provider Experience & Operations (PX&O) function
- Own specific business process areas across provider data management and claim operations
- Ensure effective risk and control practices are embedded within process areas
- Provide expert guidance on operational risk and controls to optimize the control environment
- Document and update business process flows, control matrices, and risk assessments
- Support internal and external audit activities, including evidence collection and audit readiness for SOX/SOC requirements
- Identify and escalate emerging technology risks, advising leadership on mitigation strategies
- Collaborate with teams on control integration during system implementations or enhancements
- Champion risk and control awareness across the organization by developing and delivering training and guidance.
Requirements
- Bachelor’s degree in Accounting, Business, Risk Management, Information Systems, or related field preferred
- Certified Information Systems Audit (CISA) certification preferred
- 5+ years of Big 4 audit experience preferred, or 7+ years’ alternate relevant risk and controls experience
- Experience in healthcare operations or payer-provider environments strongly preferred.
- Expertise in data governance controls, auditing automated application controls, and key report validation
- Experience managing SOX/SOC audit coordination and external auditor relationships
- Deep knowledge of SOX, SOC 1, SOC 2, and technology risk management frameworks
- Proven ability to embed control requirements into system and process design
- Excellent communication and stakeholder management skills
- Demonstrated ability to drive issue escalation and resolution across complex programs
Benefits
- Health insurance
- Vision insurance
- Dental insurance
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Well-being and behavioral health programs
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