Quality Review and Audit Lead Analyst

🔥 17 hours ago

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Execute assigned testing activities for implementations, benefit changes, and business initiatives following defined test plans and procedures • Perform data validation and test case execution to confirm accuracy, completeness, and alignment with expected setup • Support test preparation activities, including test data creation and validation • Issue Identification & Documentation: Identify and document testing defects, discrepancies, and observations clearly and accurately • Track issues and support escalation to Advisors or project leads as needed • Maintain detailed documentation of testing results and findings • Follow established testing processes, quality controls, and documentation standards • Participate in lessons learned discussions and contribute suggestions for process enhancements • Actively build knowledge of benefits, configuration, and testing methodologies

🎯 Requirements

• Bachelor’s degree required • 1+ years of experience in operations, benefits/clinical, claims processing, testing, quality assurance, audit, or a related role preferred – or– 5+ years of related experience • Basic knowledge of healthcare benefits and/or claims processing preferred • Clinical, pharmacy, or healthcare-related background preferred • Proficiency in Microsoft Excel, Word, Outlook, PowerPoint, and SharePoint

🏖️ Benefits

• Comprehensive range of health-related benefits including medical, vision, dental, and 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