Job description

The Quality Review and Audit Senior Advisor will ensure quality assurance with the team’s processes, systems, and training programs. This person will need to be an expert with data and able to utilize their expertise with data to identify trends and opportunities that will positively impact client outcomes. They will provide consultative support to internal and external partners. This person must have a strategic mindset and be able to think strategically while solving tactical challenges . This person will develop and maintain effective relationships with Sales & Account Management, Technology, Configuration, and Data Analytics teams. They will provide expert-level auditing support to meet our client’s most complex requirements and an expert ability to communicate vertically, horizontally, and externally.

RESPONSIBILITIES:
Validate setup accuracy of standardized and complex custom benefit design requests in the ESI system. Assist with more complex requests or special projects as needed. Track and report progress to team to ensure deadlines are met.

Perform verification/QA and system testing before implementation and within contractual timeframe agreements. Validate all new, manual, or non-standard setups.

Verify and ensure the accuracy of benefit setup information completed by Advisors and Lead Analysts.

Provide consultative support to internal clients by researching and assisting with the resolution of benefit-related issues. Provide benefit and/or group design analysis and system support. Escalate issues as needed.

QUALIFICATIONS:
High School Diploma or GED; Bachelor’s degree is preferred

2+ years’ experience in a Quality Audit field is required

2+ years’ of Data Management experience is required (Tableau, Excel, Access, etc)

Advanced proficiency with Microsoft Office Suite is required

1+ years’ project management experience is preferred

Ability to prioritize, manage workload and successfully meet project deadlines

Must be able to demonstrate initiative and independent thinking

Ability to think strategically while solving tactical challenges

Analytical and logical with advanced problem-solving skills

Financial acumen a plus

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 88,500 - 147,500 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .

About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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