Audit Associate-1

Blue Cross and Blue Shield of North Carolina; North Carolina; Hybrid; USD 55,000 - 89,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Parental leave and adoption support

401k match and company contribution

Paid Time Off (PTO)

Tuition reimbursement

Job summary

Blue Cross NC is seeking an audit coordinator to lead and support enterprise-wide audits, including annual and control audits. You’ll gather information, analyze root causes, and help implement remediation to reduce risk and improve processes.

Qualifications include a Bachelor's degree (or advanced) and up to 2 years of related experience, or 3+ years without a degree. This role offers a Hybrid Flex work arrangement with Durham-based headquarters and nationwide eligibility.

Qualifications

• Bachelor's degree or advanced degree (where required).
• 0-2 years of experience in related field.
• In lieu of degree, 3+ years of experience in related field.

Responsibilities

• Coordinates and conducts departmental audits to determine accuracy and efficiency of processes.
• Assesses information to identify error patterns, root causes and communicate risks to management.
• Develops tactical recommendations for quality and process improvements to mitigate risk.
• Supports remediation strategies and verifies sustained quality gains after implementation.
• Acts as technical resource and partners with business areas on procedures and audits.

Education

Bachelor's degree or advanced degree

0-2 years of experience

In lieu of degree, 3+ years of experience

Job description

Job Description Serves as audit coordinator and/or representative for broader departmental audits, including annual audits, control audits, and focused audits due to special business requests. Determines what information is needed for the audit and coordinates the information gathering process for the department. Using information obtained from audits, determines root cause of specific issues and formulates tactical recommendations for quality and process improvements. Supports the implementation of necessary remediation strategies as needed.

What You’ll Do

Coordinates and conducts broader departmental audits to determine accuracy and efficiency of established process and procedures, i.e. FRRM, SSAE-16, Financial Year End, HEDIS, PG & MTM audits, government contractually required audits, etc. This may also include self testing and risk and control assessments. Partners effectively with Internal Audit and assists external auditors when on site to complete various recurring or required audits. Assesses information obtained through interviews, observation and inspection to identify complex patterns of error trends, determine root causes and communicate any potential compliance or operational risk issues to management. Formulates tactical recommendations for quality/process improvements and solutions to mitigate risk and control deficiencies identified through specific audits. Follows through after implementation of remediation strategies to ensure that quality improvement gains are maintained. Attends and/or presents at team meetings to keep all staff informed of audit activities, issues and decisions and advise on risk/control matters. Serves as technical resource for the department and provides assistance with resolution of customer issues related to exceptions from audits, system issues, training, and coaching/feedback at the team or department level to address insidious errors and/or gaps. Partners with the business area(s) to ensure procedures are current and may participate in the development and revision of business processes and procedures as needed. Serves as departmental representative on applicable project teams as needed.

What You Bring

• Bachelor's degree or advanced degree (where required)
• 0-2 years of experience in related field.
• In lieu of degree, 3+ years of experience in related field.
• Bonus Points Previous experience working with Federal Employee Program (FEP) claims processing, administration, or support.

What You’ll Get

• The opportunity to work at thecutting edgeof health care delivery with a teamthat’sdeeply invested in the community
• Work-life balance, flexibility, and the autonomy to dogreat work
• Medical, dental, and vision coverage along withnumeroushealth and wellness programs
• Parental leave and support plus adoption and surrogacyassistance
• Career development programs and tuition reimbursement for continued education
• 401k match including an annual company contribution

Where You’ll Work

Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused. In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter. Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $55,370.00 - $88,592.00

About Us

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians. Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all. Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview for English or Visión General de E-Verify for Español.

Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at [e-mail].

Blue Cross NC is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any of our approved states: Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming