Quality Review And Audit Lead Representative- Evernorth Health Services - Remote

The Quality Review & Audit Lead Representative will audit the accuracy of client installation loaded into Diamond to ensure that the implementation process complies with CGHB policies and procedures and client requirements.

Responsibilities:
Audits are performed to ensure analyst installing the client’s accounts are in accordance with CGHB policies, procedures and client requirements.
Manage audit activity assigned, meeting all key deliverables inclusive of expected turnaround times.
Document findings in the quality repository, ensuring documentation is clear and concise.
Identify and recommend improvements in department processes and procedures and assist in the development of audit guidelines and resource materials.
Work fluidly with team members and business partners to facilitate customer-centric solutions.
Actively engage in quality initiatives to address error trends and process improvement.

Competencies:
Problem Solving: Looks beyond the obvious and doesn't stop at the first answers.
Courage: Provides current, direct, complete, and "actionable" positive and corrective feedback to others.
Learning and Applying Quickly: Learns quickly when facing new problems.
Customer Focus: Is dedicated to meeting the expectations and requirements of internal and external customers.
Dealing with Ambiguity: Can decide and act without having the total picture.

Qualifications:
Diamond experience required.
1+ year of CGHB Claims/Client Services experience is highly recommended but not required.
Minimum 1+ years of experience in a Client Quality/Audit program preferred (QUAD) but not required.
Ability to function in a production environment and deliver high quality results, DPL experience a plus.

We expect this role to remain virtual, work from home, and have a typical schedule within Monday – Friday, normal business hours, or as business needs dictate.

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 hourly rate of 22 - 34 USD / hourly, 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 The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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.