Note: The job is a remote job and is open to candidates in USA. The Cigna Group is a healthcare company seeking a Quality Review and Audit Lead Analyst to support Quality Control, Audit, and testing initiatives. The role involves executing test plans, validating data accuracy, and collaborating with cross-functional teams to ensure compliance with client and regulatory requirements.
Responsibilities
- 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
- Assist in maintaining testing schedules and meeting expected completion dates
- Identify and document testing defects, discrepancies, and observations clearly and accurately
- Track issues and support escalation to Advisors or project leads as needed
- Retest fixes and validate resolutions to confirm expected outcomes
- 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
- Support updates to testing documentation, job aids, and reference materials
- Assist with pilot initiatives, special projects, and ad hoc testing efforts as assigned
- Participate in project meetings, team discussions, and working sessions
- Collaborate with peers and cross-functional partners to support testing deliverables
- Actively build knowledge of benefits, configuration, and testing methodologies
- Seek and incorporate feedback to support skill development and readiness for increased responsibility
Skills
- Bachelor's degree required
- 5+ years of related experience
- 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
- 0-3+ years of experience in operations, benefits/clinical, claims processing, testing, quality assurance, audit, or a related role preferred
- Basic knowledge of healthcare benefits and/or claims processing preferred
- Clinical, pharmacy, or healthcare-related background preferred
Benefits
- Annual bonus plan
- Medical, vision, dental, and well-being and behavioral health programs starting on day one of your employment
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
Company Overview