Quality Review and Audit Lead Analyst

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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

• 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, including test data creation and validation • Help maintain testing schedules and meet completion dates • Identify and document testing defects, discrepancies, and observations • Track issues and support escalation to Advisors or project leads • Retest fixes and validate resolutions • Maintain detailed testing results and findings documentation • Follow established testing processes, quality controls, and documentation standards • Participate in lessons learned and contribute to process enhancements • Support updates to 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, and testing methodologies • Support multiple Lines of Business, including HealthPlan, Medicare, Medicaid, Exchange, Commercial, DoD, and Cigna

🎯 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 multiple Lines of Business, including HealthPlan, Medicare, Medicaid, Exchange, Commercial, DoD, and Cigna • 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 working, cable broadband or fiber optic internet service with at least 10Mbps download and 5Mbps upload is required

🏖️ 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