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Cigna logo — Cigna Operating Effectiveness Analyst at Cigna
Cigna

Operating Effectiveness Analyst

Job · Full-timeIn OfficeBengaluru5-6 years1 opening

About this role

Cigna is hiring for Operating Effectiveness Analyst in Bengaluru. This opening was published by Cigna on their official careers board (Workday) on 4 August 2026 and was confirmed live on 14 September 2026. Job details • Company: Cigna • Role: Operating Effectiveness Analyst • Location: Bengaluru…

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Skills you'll use

ExcelStakeholder ManagementCommunicationSix SigmaISO 9001Data Analysis

What you'll do

  • ISO Audit & Compliance
  • Plan and execute internal audits aligned to ISO 9001:2015 (Clause 9.2) and ISO 9001:2026
  • Conduct process audits across the end-to-end claims lifecycle (intake → adjudication → payment → appeals)
  • Perform gap assessments to evaluate compliance against QMS standards
  • Ensure robust audit documentation, evidence validation, and traceability
  • Claims Process Oversight
  • Assess claims accuracy, turnaround time (TAT), and policy adherence
  • Audit critical processes, including:
  • Claims adjudication
  • Eligibility & enrolment validation

Who can apply

  • 5–10 years of relevant experience in:
  • Healthcare BPO / US/International healthcare claims operations
  • Quality, audit, or compliance roles
  • Functional Expertise
  • Strong understanding of:
  • US / International healthcare claims lifecycle
  • ISO 9001:2026 Quality Management System framework
  • Demonstrated experience in:
  • Internal and process audits
  • CAPA management and closure

About Cigna

Role Description This role is responsible for driving ISO 9001-compliant internal audit practices across healthcare claims operations at CHSI Bangalore. The incumbent will ensure adherence to Quality Management Systems (QMS), strengthen operational controls, and enable a culture of continuous…

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