Jobs in Brampton, United States

This posting provides salary range and pay practices. The range may be adjusted in the future, and the candidate’s position within the range may be based on competencies, education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. The job is eligible for annual bonus incentive pay. The statement below clarifies pay and bonuses are at the Company’s sole discretion and are not wages until earned, vested, and determinable.

The posting range for this position is: $92,788.00 - $130,326.32.

• The role ensures Plans\' operations handle customer interactions accurately and promptly, leaving a positive brand impression.
• Execute audit programs and validate reported results.
• Present updates and recommendations at various events.
• Contribute to strategic planning by developing materials, presentations, and documentation.
• Create and improve standard operating procedures for departmental functions.
• Interact extensively with Plan staff at all levels, requiring diplomacy in difficult conversations. Influence local and national Plan operations.

• Responsible for overall Plan execution of the Operational Audit Programs, including auditing Plans\' local and inter-Plan claim processing, local customer service processing, and enrollment processing in accordance with applicable program.
• Analyze performance results and lead cross-functional meetings with Plan stakeholders to facilitate the development and completion of action plans for each performance program.
• Lead in the development and administration of various audit initiatives/programs that impact internal and external stakeholders.
• Provide Plans education and support by helping them understand and properly execute operational and audit requirements in formal and informal settings on a scheduled or ad-hoc basis, including face-to-face training, webinars, Help Desk, one-on-one meetings, and collaboration with other BCBSA staff.

Education

• Required Bachelor's Degree in a business related discipline or equivalent work experience

Experience

• 5+ Years related work experience Required

Knowledge Skills and Abilities

• Ability to manage and adapt to multiple, changing priorities.
• Proficiency in Microsoft Office suite and Internet technologies.
• Demonstrated research and analytical skills (quantitative and qualitative).
• Demonstrated presentation and communication skills both oral and written.
• Knowledge of BlueCross Blue Shield and Inter-Plan Programs.

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