Job Description

POSITION SUMMARY

Manager Post Audit is responsible to oversee all post audit activity for the Retail Network Audit Department; including hiring, training and managing the post audit team. As Manager - Post Audit, you will assure direct reports are meeting established goals in accordance to the department policies, contractual obligations, and state/federal pharmacy audit regulations. This poition functions as the primary support of the Sr Manager - Audit on all escalated issues and projects.

ESSENTIAL FUNCTIONS

* Interact with Pharma & Retail Strategy account management, chain contacts, independent pharmacy owners or associates, sales/account management, and clients to ensure adequate communication and prompt resolution of client or provider issues as related to audit
* Coach and develop team, oversee resolution of employee relations issues, oversee hiring and training of new associates, and manage workload assignments all aimed at ensuring the team succeeds in achieving a high-level of client satisfaction, as well as their own professional achievements
* Monitor and report out to leadership, and other appropriately interested parties, on work in progress, aging, and key metrics
* Supervise all audit activity and identify trends/outliers within the post audit and corporate chain audit process. Identify critical issues and manage up to Sr. Manager and/or Director while providing assistance to minimize such impact
* Collaborate with internal and external partners to ensure appropriate claim submission and compliance within the Retail Pharmacy Network
* Conduct all aspects of the audit lifecycle utilizing analytical skills and audit tools necessary
* Oversee and manage the chain corporate audit process, scheduling, communication timelines, and delegate assignments to staff in accordance with department policy and state and or federal regulations
* Ability to handle confidential and sensitive information
* Conduct onsite corporate chain onsite audits up to 25% travel
* Special Projects as assigned

QUALIFICATIONS

* BA/BS degree or equivalent work experience
* 5-8 years of relevant business experience to include a required minimum of 3 years of pharmacy experience in either retail or PBM setting and a minimum of 3 years of pharmacy audit experience in healthcare setting; OR MA/MS degree and 3-5 years of experience.
* Leadership /Supervisory experience is required
* Ability to succeed in a dynamic, high-pressure environment and develop a culture of ownership and personal accountability
* Ability to motivate employees, handle difficult employee relations issues and create a culture that supports high employee morale

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.

When you work with Cigna, youll enjoy meaningful career experiences that enrich peoples lives while working together to make the world a healthier place. What difference will you make? To see our culture in action, search TeamCigna on Instagram.

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.