Cigna
Bloomfield, NJ, USA
The Quality Review and Audit Manager ("Manager") is responsible for the day-to-day management and performance of a team of certified Risk Adjustment coding auditors, ensuring delivery of accurate data, and meeting of strategic objectives within the Individual and Family Plan's (IFP) Risk Adjustment Operations. The Manager will ensure compliance, quality standards, and coding guidelines are followed, while supporting optimal performance on the team, contributing to team and business objectives. Core Responsibilities: Leads a team of professionals, providing leadership, inspiration, and connection to the day-to-day activities contributing to broader organizational goals. Manages staffing, workflows, reporting, and quality control for medical record outreach and retrieval and medical record processing in accordance with program requirements. Drives ongoing improvement in operational efficiencies, staff utilization, and performance monitoring. Collaborates with internal...