Works with our clients (and/or their auditors) and Client Audit management as well as other Express Scripts (ES) subject matter experts (business owners throughout the organization) as a manager to lead and guide the team compiling supporting documentation during the client audit process. Assists Client Audit staff with performing their job duties. Responsible for data deliverables within the audit. Monitors contract terms to ensure Clients are requesting appropriate data and Client Audit responds in accordance with contractual turnaround times. Assists with troubleshooting issues and addresses questions arising from client audits. Works cross functionally with other ES subject matter experts to build out data analytics, obtain applicable electronic files/data for the client audits, ensuring all information is included and readable. Helps develop, implement and communicate department-wide process improvements. Will also be responsible for completing tasks during course of audits to help develop working knowledge of audit process and to assist with department workload needs. Provides data and ongoing support to both Client Audit and other business owners throughout the organization as needed.
ESSENTIAL FUNCTIONS
Lead and manage a team performing specialized operational and analytical tasks that include gathering, reviewing and sending audit data externally.
Ensure timely and high-quality execution of responsibilities across assigned functions.
Partner with business leaders to deliver actionable insights and ensure timely review and execution of audit deliverables.
Identify and implement process optimization strategies.
Collaborate with cross-functional teams to align team objectives with broader business goals.
Mentor the team, fostering a culture of continuous improvement and analytical excellence.
Support & Execute special projects as assigned.
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Monitor team capacity, workload allocation, and prioritization of audit deliverables to support timely and efficient execution.
Drive adoption of artificial intelligence, automation tools, and advanced analytics techniques to improve scalability, reduce manual effort, and enhance process accuracy.
Owns data deliverable process ensuring audit documentation is provided within contractual deadlines by working independently as well as cross functionally with internal departments. Ensure any Audit performance guarantees (committed turnaround times and accuracy of data with associated penalties for misses) are met.
Assists with troubleshooting issues and addressing questions arising from audits.
Discusses the audit with the client (and/or their auditor), understanding and managing their expectations and working through any limitations that may be experienced due to confidentiality of information, etc.
This position requires the analyst to be able to anticipate the auditor’s and client’s needs.
It also requires the ability to deal with sensitive situations. Redaction of other clients or proprietary information is required.
Tracks status and serves as technical lead for client audit during routine audits and monitors contracts to ensure clients are requesting appropriate data.
Fields various requests for information and provides ongoing support for Client Audit as well as other subject matter experts as needed.
Work directly with subject matter experts to obtain supporting documentation for audit needs.
Review documentation obtained ensuring support is sufficient to meet client requirements and aligned with contractual audit rights.
Develop working knowledge of audit process as well as assist with department workload needs.
Look for opportunities to initiate process improvement and perform all necessary systems analysis and SQL, Macro functions to ensure that the department is moving towards more efficient processes.
REQUIRED SKILLSET
Ability to motivate employees, handle difficult employee relations issues and create a culture that supports high employee morale
Client Facing/Audit Experience
Ability to multi-task and work under pressure
Good communication skills (verbally and written)
Prioritization
Organized
Detail Oriented
Self-motivated
Critical Thinking
Analytical
Focus on quality and service
Ability to handle sensitive or confidential information is critical
MINIMUM QUALIFICATIONS TO ENTER THE JOB:
Bachelor’s degree in accounting, Finance, Business Administration, or related field
11 to 13 years of experience in auditing, accounting or finance
3+ years of experience in a leadership or team management role.
Computer or Other Skills:
PC skills including knowledge of Microsoft Office, SQL, and data analysis software (i.e. ACL)
Healthcare or PBM experience is preferred
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.
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