Pharmacy Claim Quality Review and Audit Manager

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Description

• Manager of Desk Audit in Pharmacy Audit, managing a team in Quality Assurance. • Develop and lead Total Quality Management strategies. • Identify operational improvement opportunities impacting customers and vendors. • Responsible for using analytical skills to identify audit risks and develop plans. • Produce reports to meet the needs of stakeholders. • Provide updates to management on audits and escalated issues. • Coach and develop team, manage employee relations issues, and oversee hiring.

Requirements

• BA/BS degree preferred, HS Diploma required. • Certified Pharmacy Technician (CPhT) preferred. • At least 3 years of relevant pharmacy experience in retail or PBM setting. • Leadership/Supervisory experience. • Ability to succeed in a dynamic, high-pressure environment. • Ability to motivate employees and handle difficult employee relations issues. • Strong proficiency in MS office applications. • Excellent organizational, interpersonal, communication, and leadership skills.

Benefits

• Comprehensive health-related benefits including medical, vision, and dental. • Well-being and behavioral health programs. • 401(k) with company match. • Company paid life insurance. • Tuition reimbursement. • Minimum of 18 days of paid time off per year. • Paid holidays.