Quality Review and Audit Lead Analyst

The Cigna Group

Quality audit analyst testing healthcare benefits, claims, and configurations for Evernorth Health Services. Documenting defects, validating fixes, and supporting client implementations and benefit changes.

Posted 8/13/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $68,700 - $114,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in executing testing activities, data validation, and defect tracking while adhering to quality controls and documentation standards. Possesses a solid understanding of healthcare benefits and claims processing, with strong analytical and problem-solving skills.

Highest-signal resume keywords

Testing Activities ExecutionData ValidationDefect TrackingHealthcare Benefits KnowledgeMicrosoft Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Testing MethodologiesQuality AssuranceClaims ProcessingData AnalysisDocumentation Standards

Soft Skills

Attention to DetailProblem-SolvingCollaborationTime Management

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft OutlookMicrosoft PowerPointSharePoint

Industry Keywords

Healthcare BenefitsMedicareMedicaidCignaClinical Background

About the role

Key responsibilities & impact

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 expected setup alignment
Support test data creation and validation
Assist with testing schedules and completion dates
Identify, document, track, and escalate testing defects, discrepancies, and observations
Retest fixes and validate resolutions
Maintain detailed testing results and findings documentation
Follow testing processes, quality controls, and documentation standards
Participate in lessons learned and process improvement efforts
Update 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, testing methodologies, business processes, and multiple Lines of Business
Participate in client-facing activities with appropriate oversight

Requirements

What you’ll need

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 HealthPlan, Medicare, Medicaid, Exchange, Commercial, DoD, and Cigna Lines of Business
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-based work, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

Benefits

Comp & perks

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
Cable broadband or fiber optic internet service with minimum speeds of 10Mbps download/5Mbps upload for home-based work