Quality Review and Audit Advisor - Express Scripts - Remote

📋 Description

• • The Quality Review and Audit Advisor leads complex, high-impact Quality Assurance and Audit initiatives to ensure accurate benefit, clinical, and pricing configuration for client implementations and operational changes.
• • Day to day, the Advisor leads or co-leads testing activities, develops and executes detailed test plans, identifies and tracks defects, partners with cross-functional teams to translate business requirements into testing scenarios, and ensures timely completion of testing milestones.
• • The role operates within Evernorth Health Services, a division of The Cigna Group, supporting multiple Lines of Business including HealthPlan, Medicare, Medicaid, Exchange, Commercial, DoD, and Cigna in a fast-paced, collaborative, client-facing environment.
• • The Advisor gains deep expertise in benefits, clinical configuration, and pricing setup, becomes a recognized subject matter expert, drives process improvements, mentors junior team members, and contributes to enterprise-wide quality outcomes and operational excellence.