Senior Quality Review and Audit Analyst, Individual Dental Operations

The Cigna Group

. Conduct quality reviews and audits of customer interactions, operational transactions, and supporting system activity .

Posted 9/17/2026full-timeRemote • Missouri • United StatesSenior💰 $58,400 - $97,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in conducting quality reviews and audits within healthcare operations, with a strong focus on compliance, documentation accuracy, and analytical problem-solving. Proficient in collaborating with internal teams and vendor partners to identify trends and implement quality improvement initiatives.

Highest-signal resume keywords

Quality AssuranceOperational AuditsAnalytical SkillsMicrosoft Excel ProficiencyHealthcare Operations Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality ReviewsOperational AuditsAudit DocumentationScoring GuidelinesTrend AnalysisProcess ImprovementTechnical SupportIncident EscalationEvidence ReviewRegulatory Compliance

Soft Skills

Attention to DetailProblem-SolvingDecision-MakingWritten CommunicationVerbal Communication

Tools & Technologies

Microsoft OfficeAudit Management Systems

Industry Keywords

Healthcare OperationsCustomer ServiceClaims ProcessingContact Center OperationsQuality Standards

About the role

Key responsibilities & impact

Conduct quality reviews and audits of customer interactions, operational transactions, and supporting system activity
Evaluate work against procedures, quality standards, scoring guidelines, business requirements, and regulatory expectations
Manage assigned audits from case selection and evidence review through scoring, documentation, and completion
Maintain accurate audit records supporting scores, findings, and conclusions
Analyze audit results to identify recurring errors, quality trends, process gaps, and operational risks
Prepare audit-result summaries and initial analyses for Quality Assurance leadership
Assist with recurring quality and audit reporting
Participate in internal and vendor calibration sessions
Serve as an experienced technical resource and support less-experienced team members
Assist with onboarding and job-shadowing activities
Identify gaps in procedures, workflows, systems, training, and audit guidance
Support quality-improvement projects, corrective actions, process changes, and validation activities
Work with Operations, Compliance, vendor partners, and matrix teams to research findings and address quality concerns
Present audit results clearly to business and vendor partners
Support technical troubleshooting and incident escalation when system issues affect audit completion or accuracy
Perform Lead Analyst backup activities when assigned

Requirements

What you’ll need

Three or more years of relevant experience in healthcare operations, customer service, benefits, eligibility, claims, contact center operations, quality assurance, or auditing
Previous experience conducting quality reviews, operational audits, transaction reviews, or comparable control activities
Demonstrated ability to independently complete routine and complex audit assignments
Experience applying audit criteria, scoring guidelines, procedures, and business requirements consistently
Ability to identify trends and communicate findings using clear examples and supporting evidence
Strong analytical, problem-solving, and decision-making skills
Strong attention to detail and commitment to accurate audit documentation
Ability to manage multiple assignments and priorities in a fast-paced environment
Strong written and verbal communication skills
Ability to provide technical support and guidance without formal supervisory authority
Proficiency with Microsoft Office applications, particularly Microsoft Excel
Ability to work collaboratively with internal teams, business partners, and vendor organizations
If working at home, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload is required

Benefits

Comp & perks

Annual bonus plan eligibility
Medical, vision, and dental benefits starting on day one
Well-being and behavioral health programs
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Remote work arrangement