Benefit & Performance Auditor

Bcbsks; United States; Hybrid; USD 44,000 - 52,000; Full time

Benefits offered by this job

EPIP incentive pay

Health insurance

Parental leave

Fertility/Adoption assistance

Caregiver leave

401(k) matching

Tuition reimbursement

Wellness programs

Job summary

Blue Cross and Blue Shield of Kansas is seeking a Benefit and Performance Auditor to conduct audits of benefit administration, contracts, and performance standards. You will identify process gaps, propose improvements, and prepare formal audit reports aligned with the Internal Audit Plan and regulatory expectations.

This position is eligible to work remote, hybrid, or onsite in accordance with our Telecommuting Policy.

Qualifications

• Bachelor or equivalent not required; proven experience in health insurance audits or related fields is expected.
• Must understand benefit administration and contract performance standards.
• Ability to manage multiple audits with shifting priorities and meet deadlines.
• Proficient with audit software and MS Office tools.
• Excellent written and verbal communication for stakeholder engagement.
• Ability to interpret corporate policies, procedures, and regulatory guidelines.
• Strong problem-solving with root cause analysis focus.
• Strong organizational and documentation skills."

Responsibilities

• Conduct benefit and performance audits to evaluate compliance with contracts, policies, and regulatory requirements.
• Analyze operational processes to identify internal control weaknesses and recommend corrective actions.
• Prepare accurate and detailed audit work papers, findings, and reports.
• Present audit findings and recommendations to department leadership and other internal stakeholders.
• Support external audits and regulatory reviews by providing requested documentation and insight.
• Maintain up-to-date knowledge of benefit programs, audit practices, and system functionality.
• Provide training and guidance to junior auditors.
• Protect confidentiality and secure handling of sensitive data.
• Collaborate with internal departments and external partners to resolve audit conditions.
• Assist in developing and improving audit methodologies and procedures.

Skills

Analytical thinking

Audit standards

Multi-audit management

Audit software

Microsoft Office

Communication skills

Policy interpretation

Root cause analysis

Documentation

Education

High school diploma or equivalent

Tools

Audit software

Microsoft Office

Job description

Why Join Us?

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.

Family Comes First : Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire.

Professional Growth Opportunities: Advance your career with ongoing training and development programs.

Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.

Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.

Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.

Benefits & Perks

Base compensation is only one component of your competitive Total Rewards package

• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 401(k) plan matching up to 5%
• Tuition reimbursement
• Health & fitness benefits, discounts and resources

Job Summary

The Benefit and Performance Auditor is responsible for conducting audits and reviews related to benefit administration, contract compliance, and performance standards to ensure accuracy, efficiency, and adherence to internal controls and corporate policies. The position supports organizational accountability through identifying process gaps, recommending improvements, and preparing formal audit reports in alignment with the Internal Audit Plan and regulatory expectations.

"This position is eligible to work remote, hybrid, or onsite in accordance with our Telecommuting Policy."

What you'll do

• Conduct benefit and performance audits to evaluate compliance with contracts, policies, and regulatory requirements.
• Analyze operational processes to identify internal control weaknesses and recommend corrective actions.
• Prepare accurate and detailed audit work papers, findings, and reports.
• Present audit findings and recommendations to department leadership and other internal stakeholders.
• Support external audits and regulatory reviews by providing requested documentation and insight.
• Maintain up-to-date knowledge of benefit programs, audit practices, and system functionality.
• Provide training, direction, and support to less experienced auditors.
• Ensure confidentiality and secure handling of sensitive data.
• Collaborate with internal departments and external partners to resolve audit conditions.
• Assist in the development and improvement of audit methodologies and procedures.

What you need

Knowledge/Skills/Abilities:

• Strong analytical and critical thinking skills with attention to detail
• Knowledge of benefit administration and contract performance standards
• Ability to independently manage multiple audits and changing priorities
• Proficient in using audit-related software and Microsoft Office applications
• Excellent communication and interpersonal skills, both verbal and written
• Ability to interpret and apply corporate policies, procedures, and regulatory guidelines
• Demonstrated problem-solving abilities with a focus on root cause analysis
• Strong organizational and documentation skills

Education and Experience:

• High school diploma or equivalent required.
• Minimum of 5 years' experience in insurance customer service, claims, membership or related audit experience required.
• Experience with benefit performance auditing or related health insurance functions preferred.

Physical Requirements:

• Must be able to work at a computer for extended periods of time.
• Minimal travel may be required for audit purposes.
• Ability to meet strict deadlines and adapt to changing audit schedules.

Compensation

Non-Exempt 14:

$31.58 - $37.50

Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

Our Commitment to Connection and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, ge