Pharma Audit & Data Analytics Lead

Cigna Health and Life Insurance Company

Northern (KY)

Hybrid

USD 79,000 - 131,000

Full time

6 days ago
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Benefits offered by this job

Medical
Vision
Dental
Well-being programs
401(k)
Life insurance
Tuition reimbursement
Paid time off (18 days/year)
Paid holidays
Leaves of absence

Job summary

Cigna Health and Life Insurance Company is seeking a Quality Review and Audit Advisor to lead pharma audit and PWP data processes. You'll work with manufacturers, auditors, and internal subject matter experts to resolve issues, track deliverables, and ensure contract data requests are fulfilled.

You will build data analytics, obtain electronic files, and provide ongoing support to Pharma Audit and PWP teams.

Qualifications

  • Bachelor's degree in Finance, Business, Accounting, Economics, or related field.
  • Experience supporting pharmaceutical manufacturer audits, compliance reviews, or client audit activities.
  • Experience reviewing and interpreting contract language and validating data requests against contractual requirements.
  • Strong data analysis experience, including gathering, validating, and reconciling large datasets.
  • Advanced Microsoft Excel skills.
  • Healthcare, PBM, pharmaceutical manufacturer, pharmacy, or managed care industry experience.
  • Knowledge of Express Scripts systems and operations preferred.
  • Previous experience working with cross functional departments to research and resolve issues using innovative solutions.
  • Demonstrated ability to meet multiple deadlines and manage a dynamic workload, well organized.
  • Demonstrated analytical and problem solving skills.
  • Detail oriented; Excellent verbal and written communication skills along with presentation skills.
  • 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.

Responsibilities

  • Lead pharma audit and PWP issue resolution to meet deadlines.
  • Track data deliverables and monitor contract terms.
  • Coordinate cross-functional work with internal departments.
  • Troubleshoot issues and respond to pharma audits and PWP questions.
  • Provide data and ongoing support to Pharma Audit and PWP SMEs.
  • Identify opportunities for process improvement and perform systems analysis (SQL, Macro).
  • Special projects as assigned.

Skills

Data analysis
Advanced Excel
Problem solving
Communication
Cross-functional collaboration
Attention to detail

Education

Bachelor's degree in Finance, Business, Accounting, Economics, or related field

Tools

SQL
Macros
PWP data handling

Job description

Cigna Health and Life Insurance Company is seeking a Quality Review and Audit Advisor to lead pharma audit and PWP data processes. You'll work with manufacturers, auditors, and internal subject matter experts to resolve issues, track deliverables, and ensure contract data requests are fulfilled.

You will build data analytics, obtain electronic files, and provide ongoing support to Pharma Audit and PWP teams.

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