Performance Audit Senior Consultant

Blue Cross Blue Shield Association; Arkansas; Remote; USD 92,000 - 131,000; Full time

Job summary

A leading health insurance organization is seeking a candidate to manage operational audits and ensure customer interactions are handled accurately. Responsibilities include executing audit programs, contributing to strategic planning, and interacting with Plan staff diplomatically. A Bachelor's degree and over 5 years of experience in a related field are required. This role offers comprehensive benefits and a competitive salary range of $92,788.00 - $130,326.32.

Benefits

Paid time off

Medical/dental/vision insurance

Generous 401(k) matching

Lifestyle spending account

Qualifications

• 5+ years related work experience required.

Responsibilities

• Ensure accurate customer interactions and positive brand impression.
• Execute audit programs and validate reported results.
• Present updates and recommendations.
• Contribute to strategic planning with materials and documentation.
• Create and improve standard operating procedures.
• Interact diplomatically with Plan staff at all levels.
• Influence local and national Plan operations.
• Lead cross-functional meetings and performance program action plans.
• Provide education and support to Plans.

Skills

Ability to manage and adapt to multiple, changing priorities

Proficiency in Microsoft Office suite

Research and analytical skills

Presentation and communication skills

Knowledge of BlueCross Blue Shield and Inter-Plan Programs

Education

Bachelor's Degree in business-related discipline

Job description

Overview

This is the posting range for this position: $92,788.00 - $130,326.32. The role ensures Plans' operations handle customer interactions accurately and promptly, leaving a positive brand impression. The role executes audit programs and validates reported results. It presents updates and recommendations at various events. It contributes to strategic planning by developing materials, presentations, and documentation. It creates and improves standard operating procedures for departmental functions. It interacts extensively with Plan staff at all levels, requiring diplomacy in difficult conversations. It influences local and national Plan operations. The posting indicates compensation may be adjusted over time and is eligible for annual incentive pay in certain cases.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account, and many other benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until earned, vested, and determinable. Any bonus, commission, or other form of compensation remains in the Company's sole discretion unless paid and may be modified at the Company's sole discretion, consistent with the law.

Responsibilities

• 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 both formal and informal settings on a scheduled or ad-hoc basis. This includes face-to-face training, webinars, handling the Help Desk, one-on-one meetings, and collaborating with other BCBSA staff.

Qualifications

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
• Demonstrated proficiency in the 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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