[Hiring] Performance Audit Senior Consultant @Blue Cross Blue Shield Association

Role Description

The role ensures Plans' operations handle customer interactions accurately and promptly, leaving a positive brand impression. Responsibilities include:

• Executing audit programs and validating reported results.
• Presenting updates and recommendations at various events.
• Contributing to strategic planning by developing materials, presentations, and documentation.
• Creating and improving standard operating procedures for departmental functions.
• Interacting extensively with Plan staff at all levels, requiring diplomacy in difficult conversations.
• Influencing 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.
• Enrollment processing in accordance with applicable program.

Additional responsibilities include:

• Analyzing performance results and leading cross-functional meetings with Plan stakeholders to facilitate the development and completion of action plans for each performance program.
• Leading in the development and administration of various audit initiatives/programs that impact internal and external stakeholders.
• Providing Plans education and support by helping them understand and properly execute operational and audit requirements in both formal and informal settings.
• Providing 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: Required 5+ years related work experience.
• 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.

Requirements

• The posting range for this position is $92,788.00 - $105,000.00.
• This job is also eligible for annual bonus incentive pay.

Benefits

• Comprehensive package of benefits including paid time off.
• 11 holidays.
• Medical/dental/vision insurance.
• Generous 401(k) matching.
• Lifestyle spending account.
• Many other benefits to eligible employees.