Quality Review and Audit Lead Analyst

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 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 expected setup alignment • Support test data creation and validation • Assist with testing schedules and completion dates • Identify, document, track, and escalate testing defects, discrepancies, and observations • Retest fixes and validate resolutions • Maintain detailed testing results and findings documentation • Follow testing processes, quality controls, and documentation standards • Participate in lessons learned and process improvement efforts • Update testing documentation, job aids, and reference materials • Assist with pilot initiatives, special projects, and ad hoc testing • Participate in project meetings, team discussions, and working sessions • Collaborate with peers and cross-functional partners to support testing deliverables • Build knowledge of benefits, configuration, testing methodologies, business processes, and multiple Lines of Business • Participate in client-facing activities with appropriate oversight

🎯 Requirements

• Bachelor’s degree required with 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 • Ability to follow testing instructions, document findings, and meet assigned deadlines • Willingness to learn HealthPlan, Medicare, Medicaid, Exchange, Commercial, DoD, and Cigna Lines of Business • Proficiency in Microsoft Excel, Word, Outlook, PowerPoint, and SharePoint • Strong attention to detail and quality-focused mindset • Fundamental analytical and problem-solving skills • Ability to follow defined processes and produce consistent, accurate work • For home-based work, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical insurance • Vision insurance • Dental insurance • 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 with minimum speeds of 10Mbps download/5Mbps upload for home-based work