Performance Audit Senior Consultant

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

Job summary

A national healthcare organization in Minnesota is seeking an experienced professional to manage audit programs and improve customer interactions. The ideal candidate has at least 5 years of relevant experience and a Bachelor's degree. Responsibilities include ensuring operational efficiency and providing training across teams. The position offers a competitive salary, eligible for bonuses, and a comprehensive benefits package including health insurance and a 401(k) plan.

Benefits

Paid time off

11 holidays

Medical/dental/vision insurance

Generous 401(k) matching

Lifestyle spending account

Qualifications

• 5+ years of related work experience required.
• Demonstrated proficiency in managing changing priorities.
• Demonstrated communication skills both oral and written.

Responsibilities

• Ensure accurate handling of customer interactions to create a positive brand impression.
• Execute audit programs and validate reported results.
• Develop materials and presentations for strategic planning.

Skills

Adaptability

Microsoft Office proficiency

Research and analytical skills

Presentation skills

Communication skills

Knowledge of Blue Cross Blue Shield

Education

Bachelor's Degree in a business related discipline

Job description

Overview

The posting range for this position is: $92,788.00-$130,326.32. This is the salary range in good faith we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range, and this range may be modified in the future. A candidate's position within the hiring range may be based on factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.

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 such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company\'s sole discretion unless and until 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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