Performance Audit Senior Consultant (Remote)

Blue Cross Blue Shield Association

3d•Remote

About The Position

The role ensure 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. This includes 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 in order 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 to understand and properly execute operational and audit requirements in both formal and informal settings on a scheduled or ad-hoc basis. This includes providing face-to-face training, webinars, handling the Help Desk, one-on-one meetings, and collaborating with other BCBSA staff. The posting range for this position is: $92,788.00-$105,000.00

Requirements

Bachelor's Degree in a business-related discipline or equivalent work experience
5+ Years related work experience
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.

Responsibilities

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.
Responsible for overall Plan execution of the Operational Audit Programs.
Analyze performance results and lead cross-functional meetings with Plan stakeholders in order 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 to understand and properly execute operational and audit requirements in both formal and informal settings on a scheduled or ad-hoc basis.