Note: The job is a remote job and is open to candidates in USA. Cigna Healthcare is seeking a Quality Review and Audit Lead Analyst to support Quality Control, Audit, and testing initiatives. The Analyst will execute test plans, validate data accuracy, document defects, and collaborate with various teams to ensure compliance with client and regulatory requirements.
Responsibilities
- 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 alignment with expected setup
- Support test preparation activities, including test data creation and validation
- Assist in maintaining testing schedules and meeting expected completion dates
- Identify and document testing defects, discrepancies, and observations clearly and accurately
- Track issues and support escalation to Advisors or project leads as needed
- Retest fixes and validate resolutions to confirm expected outcomes
- Maintain detailed documentation of testing results and findings
- Follow established testing processes, quality controls, and documentation standards
- Participate in lessons learned discussions and contribute suggestions for process enhancements
- Support updates to testing documentation, job aids, and reference materials
- Assist with pilot initiatives, special projects, and ad hoc testing efforts as assigned
- Participate in project meetings, team discussions, and working sessions
- Collaborate with peers and cross-functional partners to support testing deliverables
- Actively build knowledge of benefits, configuration, and testing methodologies
- Seek and incorporate feedback to support skill development and readiness for increased responsibility
Skills
- 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
- Ability to follow testing instructions, document findings, and meet assigned deadlines
- Willingness to learn multiple Lines of Business, including HealthPlan, Medicare, Medicaid, Exchange, Commercial, DoD, and Cigna
- Proficiency in Microsoft Excel, Word, Outlook, PowerPoint, and SharePoint
- Basic knowledge of healthcare benefits and/or claims processing
- Clinical, pharmacy, or healthcare-related background
Benefits
- Annual bonus plan
- Medical, vision, dental, and well-being and behavioral health programs starting on day one of your employment
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
Company Overview
Company H1B Sponsorship