Quality Review and Audit Analyst- Cigna Healthcare

Cigna Health and Life Insurance Company; Bengaluru; On-site; INR 900,000 - 1,300,000; Full time

Job summary

The Cigna Group is seeking professionals to perform quality review and audit activities within its healthcare division. The role involves delivering standard processes, generating initial analyses and audit reports for management review.

Ideal candidates will contribute to improvements in department procedures, support third-party audits, and mentor junior team members in the Quality Review and Audit area.

Qualifications

• Experience in quality review or audit processes is preferred.
• Strong analytical and reporting skills.
• Ability to provide guidance and coaching to junior team members.

Responsibilities

• Deliver professional activities in the Quality Review and Audit domain.
• Develop and distribute audit reports for review.
• Assist with third-party audits and respond to audit questionnaires.

Job description

Delivers professional activities in the Quality Review and Audit job family. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. Develops and distributes audit reports. Assists with third party audits by completing questionnaires, validating selected claims, responding to errors, etc. Identifies and recommends changes to improvements in department processing and procedures, and assists in the development of audit guidelines. May act as subject matter expert and a resource for team members. May develop and/or recommend training programs to address error trends. May provide guidance, coaching, and direction to more junior members of the team in Quality Review and Audit.

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. 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.