Quality Review/Audit Analyst at Cigna in Nashville, Tennessee

Job Description:

Responsibilities

• Performs monitoring of internal partners, external partners (70+ FDRs with ~1,400 down-lines and ~20,000 agents)


• Provides feedback to agents and managers as well as external partners regarding agent/agency performance and compliance.


• Maintains a strong rapport with telephonic internal and external partners


• May be directly involved in complex operational audits and monitoring or regulatory inquiries to provide expertise and guidance on technical or procedural issues


• Performs annual audit of CMS' Foreign Language-TTY study to ensure that agents adhere to guidelines enforced by CMS


• Performs ad hoc review of data to improve processes and develop remediation as necessary


• Ensures CMS and Cigna audit readiness


• Ensures that external partners adhere to filed telephonic scripts

Requirements

• BA/BS or equivalent work experience


• Knowledge of CMS and Cigna compliance policies and procedures


• High attention to detail, quality and accuracy


• Strong coordination and organizational skills


• Ability to communicate effectively and follow-up where needed


• Fast-learner and multi-tasking skills


• Ability to work independently and within a team environment in a matrixed environment


• Strong interpersonal and prioritization skills


• Sales and/or training experience recommended


• Ability to handle multiple assignments, projects and deliverables simultaneously required


• Strong computer skills required (Microsoft Office Suite products preferred)


• Excellent listening, written and verbal communication skills required


• Adaptable, flexible, and able to manage through change in a fast-paced environment


• Goal oriented, resourceful, personally accountable and self-directed


• Ability to effectively collaborate across the organization


• Process-oriented with organization and planning skills among competing responsibilities and tasks


• Proactively seek opportunities for improvement


• Ability to speak to different audiences

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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.