Senior Auditor - Regulatory & PBM, Flexible Hours

Blue Cross Blue Shield of Massachusetts; Hingham (MA); On-site; USD 89,460 - 109,340; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Blue Cross Blue Shield of Massachusetts (BCBSMA) is seeking a Senior Auditor to lead regulatory and PBM audits, ensuring compliance with government regulations and corporate policies. You will interact with regulators and external auditors, provide assurance to leadership, and help maintain a robust control environment.

The role requires strong analytical and communication skills, organizational excellence, and a proactive approach to risk management.

Qualifications

• Bachelor’s degree required.
• 3+ years of experience, preferably in healthcare or health insurance.
• Experience with BCBSMA regulated products or business operations is desirable.

Responsibilities

• Conduct, support, or facilitate regulatory and PBM audits in compliance with policies and procedures.
• Identify gaps and opportunities to improve audit program efficiency and effectiveness.
• Collaborate with Internal Audit, Corporate Compliance, and FWA teams to address risks.
• Manage audit inquiries, findings, and corrective action plans with business leaders.
• Ensure root-cause analysis is performed and corrective actions are implemented.
• Support multiple projects with tight deadlines and report to project leaders.
• Maintain well-documented work papers for executive reporting and Audit Committee communication.

Skills

Integrity

Organizational and analytical skills

Communication and interpersonal skills

Problem solving

Business acumen

Microsoft Office

Education

Bachelor's degree

Tools

Microsoft Office Suite

Job description

Blue Cross Blue Shield of Massachusetts (BCBSMA) is seeking a Senior Auditor to lead regulatory and PBM audits, ensuring compliance with government regulations and corporate policies. You will interact with regulators and external auditors, provide assurance to leadership, and help maintain a robust control environment.

The role requires strong analytical and communication skills, organizational excellence, and a proactive approach to risk management.