Quality Review and Audit Supervisor job opportunity at The Cigna Group.



DatePosted 17 Days Ago bot
The Cigna Group Quality Review and Audit Supervisor
Experience: 8-years
Pattern: full-time
apply Apply Now
Salary:
Status:

Job

Copy Link Report
degreeOND
loacation Bengaluru, India, India
loacation Bengaluru, Ind..........India

Quality Review and Audit Supervisor Job Description/Responsibilities: This candidate will be responsible for leading a team of quality auditors. This candidate will supervise the day-to-day operations activities, and assist in hiring, training, and reviewing performance of staff. Review, evaluate, and resolve inventory concerns. Participates in efforts to identify operational improvement opportunities that have a direct impact on the customer, provider, or vendor partner. Meets operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service standards; resolving problems; identifying claim processing efficiencies and improvements. Expectations: Always be a leader to the operations team to ensure timely and quality outcomes in all systems. Partner with Operations Managers, Quality Reviewers, Business Owners, and Coaches to ensure negative customer experiences are assigned appropriately and feedback is shared. Demonstrate the flexibility needed to ensure superior client and customer experience while keeping compliance at the forefront of all we do. Provide innovative ideas that demonstrate outside-the-box thinking.  Willingness to lead improvement initiatives even if outside of their comfort zone Communicate effectively with team, peers and key business partners that build meaningful and productive relationships. Initiate individual coaching plans as necessary Qualifications: Overall 8+ years of experience in Healthcare Claim Adjudication process (in that min. 2 years of team management experience). US & International claims processing experience preferred. Exceptional verbal and written communication skills People management experience and experience in an inventory management environment with respect to turnaround time and quality required Experience providing feedback and conducting performance coaching sessions Knowledge of Claims processing Seeking opportunities for efficiency and process improvement in all aspects of the organization. Intermediate knowledge of Microsoft Office products, including Excel, Access, Word and Outlook Ability to prioritize work and work independently while managing time effectively; Able to multitask when necessary Ability to independently identify a problem and conduct the necessary research to locate a solution Job Location: Bangalore, India (Work from office) Work Shift: 17:00 to 02:00 IST (core US shift) About The Cigna Group 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.

Other Ai Matches

Software Engineering Lead Analyst - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Pharmacy Technician Representative - Accredo Applicants are expected to have a solid experience in handling Job related tasks
Contract Administration Senior Representative - Accredo - Remote Applicants are expected to have a solid experience in handling Job related tasks
Sr. New Business Manager, 0500(Hybrid; Newton, MA) Applicants are expected to have a solid experience in handling 0500(Hybrid; Newton, MA) related tasks
Agile Product Owner - International Organisation Health Applicants are expected to have a solid experience in handling Job related tasks
Senior Software Development Engineer in Test (Sr. SDET) Applicants are expected to have a solid experience in handling Job related tasks
Infrastructure Engineering Associate Advisor - HIH – Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Legal Compliance Senior Supervisor - CuraScript - Hybrid Applicants are expected to have a solid experience in handling Job related tasks
Pharmacy Technician Associate Representative- Accredo Applicants are expected to have a solid experience in handling Job related tasks
Provider Contract Negotiator – Cigna Healthcare – Lake Mary, Dade, Broward, Tampa, FL Applicants are expected to have a solid experience in handling Dade, Broward, Tampa, FL related tasks
Third Party Management Associate Advisor - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Sr. Advisor Strategic Intelligence Applicants are expected to have a solid experience in handling Job related tasks
Finance Data & Innovation Controllership & Expense - Senior Manager - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Operations Representative - German + English Speaking Applicants are expected to have a solid experience in handling Job related tasks
Cyber Security Senior Advisor - HIH - Evernorth Applicants are expected to have a solid experience in handling Job related tasks
Internal Audit Manager Applicants are expected to have a solid experience in handling Job related tasks
Data Engineering Associate Advisor - HIH - Evernoth Applicants are expected to have a solid experience in handling Job related tasks
Senior Advisor, Pharmacy UM Strategy & Operations - Cigna Healthcare - Hybrid Applicants are expected to have a solid experience in handling Pharmacy UM Strategy & Operations - Cigna Healthcare - Hybrid related tasks
Business Development Consultant (Global Individual Health) Applicants are expected to have a solid experience in handling Job related tasks
Pharmacy Operations Rep. - Accredo - OnSite Applicants are expected to have a solid experience in handling Job related tasks
Senior RPG Developer Applicants are expected to have a solid experience in handling Job related tasks
Compounding Pharmacy Technician - Freedom Fertility Applicants are expected to have a solid experience in handling Job related tasks
Part-Time Staff Pharmacist - Accredo - Eagan, MN Applicants are expected to have a solid experience in handling MN related tasks