What are the responsibilities and job description for the Audit Compliance Solutions Leader position at CIGNA?
Key Responsibilities
A Audit Compliance Solutions Leader is responsible for leading a team that serves as the Regulated Markets point of contact for Government Audits and issue management of Regulated Markets book of business items. This role involves:
Requirements:
- Bachelor's degree in a related field or equivalent relevant experience.
- Regulated Markets experience preferred.
- Familiarity with pharmacy adjudication and other PBM operations.
- Experience in managing and implementing large scale initiatives preferred.
A Audit Compliance Solutions Leader is responsible for leading a team that serves as the Regulated Markets point of contact for Government Audits and issue management of Regulated Markets book of business items. This role involves:
- Ensuring compliance with CMS guidance/regulations.
- Building and implementing management processes in support of CMS program audits for both the Regulated Markets and the Health Plan divisions.
- Representing Express Scripts and clients in CMS program audits.
Requirements:
- Bachelor's degree in a related field or equivalent relevant experience.
- Regulated Markets experience preferred.
- Familiarity with pharmacy adjudication and other PBM operations.
- Experience in managing and implementing large scale initiatives preferred.
