Quality Review

1 month ago

Remote, Oregon, United States The Cigna Group Full time
Work Location - Remote, United States

Summary:

The Quality Review & Governance Lead Auditor for IFP supports the U.S. Government Governance team as an audit, risk, and control subject matter expert. The Quality Review & Governance Lead Auditor is responsible for the design, tooling, execution and development of new processes, policies and solutions to address risks and gaps in controls in the Government organization. This role leads reviews designed to identify improvement opportunities, and provides actionable recommendations on issues related to business, people, processes, and technology.

Responsibilities:

  • Work in conjunction with the business units and Enterprise Compliance, to identify and mitigate risks prior to them being identified by stakeholders, regulators, and/or Internal Audit
  • Lead prospective and retrospective audits to monitor quality and compliance.
  • Identify, assess, and document risks and controls within processes.
  • Identify error trends and root causes.
  • Summarizes results of audits and effectively communicate to management recommendations for actions to resolve business issues.
  • Develop subject matter expertise in areas audited and become resource for the team.
  • Design and drive process improvement to further enhance service outcomes; opportunities for streamlining processes and procedures, reducing rework.
  • Ability to meet production demands and maintain a high level of quality.
  • Executes more complex advisory tasks such as reviewing the remediation of issues identified by the second and third lines of defense.
  • Serve as the primary point of contact for the second and third line of defense to support any oversight and timely escalate issues identified by the first line monitoring.
  • Support the creation of an annual risk-based review plan.
  • Participate in regular team and company meetings.

Qualifications:

  • High School Diploma, required
  • Bachelor's degree in Accounting, Finance or equivalent work experience, highly preferred.
  • 4 or more years of internal or external audit experience or related business experience. Individuals with more extensive business experience and an interest in risk identification and process improvement are encouraged to apply.
  • Strong knowledge of risk and control identification.
  • A general understanding of the information technology environment including understanding of automated business process controls (i.e., application controls).
  • The candidate must have strong communication skills, both verbal and written.
  • The candidate must have strong interpersonal skills.
  • The ability to work independently with minimal oversight by the Manager.
  • Ability to adapt to change quickly and multi-task.
  • Demonstrate effective time management skill.
  • Comfortable working in both an office-based and virtual team-based collaborative environment.

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 91, ,100 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.

We want you to be healthy, balanced, and feel secure. That's why 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) with company match, 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, visit Life at Cigna Group.

About Cigna Healthcare

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.

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: for support. Do not email 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.

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