Performance Audit Senior Consultant

Blue Cross Blue Shield Association

Chicago (IL)

On-site

USD 92,788 - 130,326

Full time

14 days+

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Benefits offered by this job

Paid time off

Medical/dental/vision insurance

401(k) matching

Lifestyle spending account

Job summary

A health insurance organization is seeking a Performance Audit Senior Consultant in Chicago to ensure accurate customer interactions and conduct audit programs. The ideal candidate will possess a Bachelor's degree and over 5 years of experience in the field. Responsibilities include analyzing performance, leading meetings with stakeholders, and providing education on operations and audit requirements. This role offers a comprehensive benefits package and a salary range of $92,788.00–$130,326.32.

Qualifications

5+ years related work experience required.
Demonstrated knowledge of BlueCross Blue Shield and Inter-Plan Programs.

Responsibilities

Ensure Plans' operations handle customer interactions accurately.
Execute audit programs and validate reported results.
Lead cross-functional meetings with Plan stakeholders.
Provide education and support to Plans.

Skills

Ability to manage and adapt to multiple priorities

Proficiency in Microsoft Office

Research and analytical skills

Presentation and communication skills

Knowledge of BlueCross Blue Shield

Education

Bachelor's Degree in a business-related discipline

Job description

Overview

Join to apply for the Performance Audit Senior Consultant role at Blue Cross Blue Shield Association.

This posting includes the salary range currently believed to be appropriate. A candidate’s position within the hiring range may be based on competencies, education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. The posting notes that annual bonus incentive pay may be offered. We offer a comprehensive benefits package to eligible employees, including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account, and other benefits. The posting range is $92,788.00–$130,326.32.

The role ensures Plans' operations handle customer interactions accurately and promptly, leaving a positive brand impression. Responsibilities include executing audit programs, validating reported results, presenting updates and recommendations, contributing to strategic planning with materials, presentations, and documentation, and creating and improving standard operating procedures for departmental functions. The position requires extensive interaction with Plan staff at all levels, with diplomacy in difficult conversations, and the ability to 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 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, including face-to-face training, webinars, Help Desk, one-on-one meetings, and collaboration with other BCBSA staff.

Qualifications

Education