Audit Operations Lead

Job not on LinkedIn

🔥 8 minutes ago

🦌 Connecticut, Texas – Remote

🦌 Connecticut – Remote 🤠 Texas – Remote

💵 $62.6k - $104.3k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • 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

• Provide advanced support for complex client, regulatory, accreditation, and internal audits • Manage audit activities from intake through execution, remediation, validation, and closure • Clarify requirements, timelines, dependencies, and deliverables • Translate complex or incomplete requests into actionable next steps • Research unfamiliar issues and engage subject matter experts as needed • Coordinate activities across multiple teams and stakeholders • Facilitate audit preparation, meetings, requirements discussions, and follow-up • Maintain documentation and communicate status, risks, and next steps • Identify and escalate risks while recommending solutions • Improve SOPs, workflows, tools, and audit processes • Support CMS program and mock audits, delegation and data validation audits, NCQA and URAC audits, internal audit findings and remediation, and other compliance, regulatory, or operational initiatives

🎯 Requirements

• High school diploma required; bachelor’s degree preferred • 5+ years of experience in client/customer support, healthcare operations, audit, compliance, project coordination, or a related area • Experience coordinating complex, time-sensitive work across multiple teams • Strong communication, organization, problem-solving, adaptability, and time-management skills • Healthcare, regulatory, accreditation, client, or internal audit experience preferred • Experience developing or improving SOPs, workflows, or process documentation preferred • Knowledge of prior authorization, post-service processes, reporting, or relevant eviCore systems preferred • If working at home, internet connection must be through a cable broadband or fiber optic provider with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• 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 • Annual bonus plan eligibility • Remote work arrangement • Cable broadband or fiber optic internet requirement for work-at-home employees

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