Provides advanced professional input to complex Quality Assurance/Audit assignments/projects. Supports and provides direction to more junior professionals. Assists in the development of audit policies and procedures. Using independent judgment and discretion, may recommend changes in processing procedures. May be directly involved in complex audits. Works autonomously, requiring only “expert”- level technical support from others. Exercises judgment in evaluating, selecting, and adapting both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Quality Review and Audit.

ESSENTIAL FUNCTIONS

Support Client Requests. Conduct Desk AuditsManage and complete Polaris CasesAttend Client CallsAssist in conducting desk audits or completing post audit work and additional projects assigned by management

QUALIFICATIONS

BA/BS Degree preferred, HS Diploma requiredAt least 1 years related pharmacy quality audit experiencePC skills, including Microsoft Office; Strong Access and Excel Skills required.Data warehouse (Teradata/SQL), Visual Basic, and report writing experience strongly preferred. Effective communication skills with customers in other business units at all levelsExcellent problem-solving and analytical skillsProject Management/organizational skillsAbility to work cross-functionally to resolve complex issues and provide recommendations for quality improvement effortsDemonstrate ability to quickly identify the business needs, prioritize tasks, and execute on meeting critical deliverables.

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 annual salary of 78,800 - 131,300 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, 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), 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, click here.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.