Overview

The Advisor Regulated Markets Audit Management role is responsible for coordinating the planning, execution and follow up for client and regulatory audit activities within Regulated Markets. This individual serves as a point of contact for various teams supporting audit activities. This position assists with the development and delivery of training to ensure audit readiness across the organization. Recruits and retains network of enterprise resources and collaborates with Client Audit, Compliance, Legal and other stakeholders to respond to State, Center for Medicare and Medicaid Services (CMS) and Client audit requests.

Key accountabilities include (but not limited to):

Reviews, evaluates and executes on new regulatory guidance. Coordinates or leads responses to Audit related Request for ProposalsProvides day-to-day oversight of Regulated Market audit activitiesCompiles and evaluates data on the functional performance of audit related activities Utilizes in-depth professional knowledge and acumen to develop models and procedures and monitor trendsAssist with development of audit trainingRecruits and trains audit resource networkCoordinates audit pipeline and resource support planning with Client Audit teamProvides audit trend/issues insight to support audit preparationProvides direct audit support as neededEnsures timely documentation of audit outcomes using established tools and processesSupports analysis of audit findings, coordinates responses and prepares client communications

Additional skills and experience

The ideal candidate will have Regulated Markets specific knowledge, experience working collaboratively across teams, strong attention to details and an ability to influence and drive work in a matrix environment.

Preferred experience:

2 or more years’ experience participating in regulatory and/or performance audits in a pharmacy benefit services or managed care environment2 or more years participating in cross-functional projectsExcellent process mapping and analysis skillsOpen communicator; excellent oral and written communication skillsAbility to work effectively in dynamic, rapidly changing, team-based environment across multiple functions and in support of diverse regulatory obligationsCritical thinker and creative problem solver, who exercises good judgment in resolving difficult situations, prioritizes and can balance needs with enterprise objectivesAbility to work in a fast-paced deadline-driven environment, and juggle multiple, sometimes competing, priorities and requirementsAbility to influence direction and action; build and leverage internal relationshipsGoal oriented and personally accountable; resourceful and self-directedAdaptable and flexible; open minded, innovative and creative – seeks ‘out of box’ solutions

* * * This is a hybrid role that requires the ability to work in person three days per week. * * *

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 92,800 - 154,600 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.