Senior Audit Analytics Consultant (Hybrid)

Blue Cross and Blue Shield Association; Chicago (IL); Hybrid; USD 98,000 - 142,000; Full time

Job summary

Blue Cross Blue Shield Association in Chicago seeks a seasoned business analytics professional to lead audits of incentive programs, design data-driven solutions, and support the BCBSA Audit Program that measures financial and operations performance.

You will perform root-cause analyses, manage automation for timely award distributions, and collaborate with BCBS plans to implement controls and drive improvements across healthcare data initiatives.

Qualifications

• Required Bachelor's Degree in Business Administration with a MIS or health care concentration, or equivalent work experience.
• Five+ years of formal software/system testing in a business environment; managed care or health services experience preferred.
• Advanced skills in Excel, SQL, and data modeling; experience with predictive modeling and risk stratification.

Responsibilities

• Lead audits for the BCBSA incentive programs and design solutions supporting the audit framework.
• Analyze financial, medical, and enrollment data, driving recommendations to meet quality objectives.
• Develop automation for timely award payments and oversee prepayment controls in claims systems.
• Provide ongoing technical support to Audit teams across BCBS plans.
• Collaborate on health data initiatives and translate business needs into system enhancements.
• Serve as liaison with BCBS Plans to align requirements with audit findings.

Skills

MS 365

Excel

SQL

Tableau

VBA

Data analysis

Predictive modeling

Risk stratification

Communication skills

Auditing knowledge

Education

Bachelor's degree in Business Administration with a concentration in MIS or health care, or equivalent

Master's degree

Tools

IDEA/Advantage Sweet

Access

VBA development

Job description

Blue Cross Blue Shield Association in Chicago seeks a seasoned business analytics professional to lead audits of incentive programs, design data-driven solutions, and support the BCBSA Audit Program that measures financial and operations performance.

You will perform root-cause analyses, manage automation for timely award distributions, and collaborate with BCBS plans to implement controls and drive improvements across healthcare data initiatives.