Cigna is seeking a Quality Review & Audit Senior Advisor to lead quality assurance efforts focused on clinical accuracy and regulatory compliance within their pharmacy benefit management services. The ideal candidate will possess a clinical or pharmacy background, strong analytical skills, and management experience to drive continuous improvement and collaboration across various teams
Job Summary
The role provides enterprise-level quality assurance leadership with a strong focus on clinical accuracy, pharmacy benefit integrity, and regulatory compliance.
Candidates will partner with internal stakeholders to resolve complex clinical issues impacting patient safety and access to care.
The position offers a comprehensive benefits package including medical, vision, dental, 401(k), and paid time off starting day one.
Matching Summary
Match Score: 85
Cigna is seeking a Quality Review & Audit Senior Advisor to lead quality assurance efforts focused on clinical accuracy and regulatory compliance within their pharmacy benefit management services. The ideal candidate will possess a clinical or pharmacy background, strong analytical skills, and management experience to drive continuous improvement and collaboration across various teams.
Salary
Base: $100,000 - $166,600 USD yearly; Bonus: Eligible for annual bonus plan; Benefits: Medical, vision, dental, 401(k), life insurance, tuition reimbursement, 18 days PTO
Skills & Requirements
Must-have
Clinical and pharmacy expertise
CMS NCQA regulatory compliance
End-to-end benefit testing
Management experience required
Pharmacy benefit configuration validation
Nice-to-have
Agile methodologies experience
Financial acumen understanding
Data-driven insights capability
Mentoring team members skills
Key Requirements
Bachelor's degree in clinical or healthcare field
Management experience leading high-performing teams