Remotery

Quality Review and Audit Advisor

atThe Cigna GroupRemoteUS flagMissouriFull-timeUncategorizedMid-levelSenior$78.8k – $131.3k/year

Posted 1 day ago

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Collaborate with pharmaceutical manufacturers, their auditors, management, and Express Scripts subject matter experts as a primary contact to address issues identified during the Pharma Audit process or Pharma Web Portal review.

• Act as the project leader and monitor the status of data deliverables.

• Oversee contract terms to ensure pharmaceutical manufacturers request the appropriate data.

• Aid in troubleshooting problems and inquiries arising from pharmaceutical audits and/or the Pharma Web Portal.

• Partner cross-functionally with Express Scripts subject matter experts to develop data analytics.

• Acquire necessary electronic files and data when required, ensuring all information is complete and legible.

• Provide data and ongoing assistance to Pharma Audit and Pharma Web Portal subject matter experts.

• Ensure that audit and portal issues are addressed and deadlines are adhered to.

• Engage in discussions regarding relevant issues with pharmaceutical manufacturers and/or their auditors, manage expectations, and navigate confidentiality constraints.

• Anticipate the needs of pharmaceutical manufacturers concerning audits or the Pharma Web Portal.

• Monitor status and serve as the technical leader for the Pharma Web Portal.

• Lead pharmaceutical audits during routine audit activities.

• Handle requests for information and provide continuous support for Client Audit and other subject matter experts.

• Assist with departmental workload requirements.

• Initiate process enhancements and conduct systems analysis, SQL, and Macro functions to boost efficiency.

• Complete special projects as assigned.


⛳️ Requirements

• Bachelor's degree in Finance, Business, Accounting, Economics, or a related field.

• Experience in supporting audits for pharmaceutical manufacturers, compliance reviews, or client audit activities.

• Proficiency in reviewing and interpreting contract language and validating data requests against contractual obligations.

• Strong data analysis skills, including the ability to gather, validate, and reconcile large datasets.

• Advanced skills in Microsoft Excel.

• Experience in the healthcare, PBM, pharmaceutical manufacturer, pharmacy, or managed care sectors.

• Familiarity with Express Scripts systems and operations is preferred.

• Previous experience collaborating with cross-functional departments to research and resolve issues using innovative solutions.

• Proven ability to meet multiple deadlines and manage a changing workload.

• Highly organized.

• Demonstrated analytical and problem-solving capabilities.

• Detail-oriented.

• Excellent verbal and written communication skills.

• Strong presentation skills.

• If working remotely, a reliable internet connection via cable broadband or fiber optic service provider with speeds of at least 10Mbps download/5Mbps upload.


🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical insurance.

• Vision insurance.

• Dental insurance.

• Well-being and behavioral health programs.

• 401(k) plan.

• Company-paid life insurance.

• Tuition reimbursement.

• Minimum of 18 days of paid time off annually.

• Paid holidays.

• Leaves of absence.

• Cable broadband or fiber optic internet service with a minimum of 10Mbps download/5Mbps upload for remote work.

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