Quality Review and Audit Lead Analyst
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Alabama • Alaska • United States
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Salary
💰 $68,700 - $114,500 per year
Job Level
About the role
- Facilitate root cause investigations and develop actionable recommendations for systemic improvements
- Review, analyze, and appropriately disposition tickets for root cause/corrective action analysis
- Collaborate with business partners to establish correct root causes and implement solid corrective/preventive actions
- Utilize system platforms (e.g., Service Now, RSAM, Polaris) to manage tickets and capture trend information
- Support projects and initiatives that drive department and enterprise strategy
- Partner with Service Operations and Customer Services to execute action plan deliverables
- Share and communicate pertinent information with internal partners
- Design and implement corrective action plans in collaboration with enterprise stakeholders
- Build strong relationships across teams to achieve shared goals.
Requirements
- 3–5 years’ experience in root cause and corrective/preventive action analysis
- Bachelor’s degree preferred, advanced degree or equivalent experience a plus
- Extensive knowledge of claims adjudication processes and issue management methodologies
- Strong proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint, SharePoint)
- Knowledge of ESI platforms preferred (Service Now, RSAM, Polaris)
- Demonstrated experience in financial reconciliations and compliance standards
- Excellent verbal and written business communication skills
- Ability to adapt to a dynamic work environment, solve problems, and make decisions with minimal oversight
- Demonstrated initiative, commitment, and ability to work under pressure and meet tight deadlines
- Ability to collaborate effectively across teams and manage multiple priorities.
Benefits
- health-related benefits including medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
- annual bonus plan
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
root cause analysiscorrective action analysispreventive action analysisclaims adjudication processesissue management methodologiesfinancial reconciliationscompliance standardsMicrosoft Officedata analysis
Soft Skills
communication skillsproblem-solvingdecision-makingadaptabilityinitiativecommitmentability to work under pressuretime managementcollaboration
Certifications
Bachelor's degreeadvanced degree