Sr. Audit Specialist

Blue Cross Blue Shield of Massachusetts • Boston, MA

1d • Hybrid

About The Position

The Senior Audit Specialist will join the Regulatory and Compliance Audit team at Blue Cross Blue Shield of Massachusetts. The role leads and supports Model Audit Rule (MAR) evaluations, regulatory readiness reviews, and risk-based operational audits, helping safeguard organizational integrity and verify the effectiveness of operational and financial controls. The specialist evaluates business and IT processes, identifies operational and compliance risks, and partners with business leaders to build control consciousness. As an objective advisor, the specialist translates audit findings into actionable recommendations that support business improvement and the company's financial reporting and compliance commitments. The role is eligible for the Flex worker persona and is based in the Boston or Hingham office.

Requirements

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related discipline.
• 2–4 years of audit experience in public accounting, internal audit, or risk advisory.
• Strong analytical, investigative, and problem-solving skills, including the ability to evaluate complex processes, identify root causes, and propose practical risk-mitigating solutions.
• Working knowledge of internal control frameworks such as COSO, MAR, and SOX; audit testing methodologies; and financial and operational risk evaluation.
• Excellent verbal and written communication skills, including the ability to draft clear audit reports and build collaborative relationships across organizational levels.
• Ability to work independently on low-to-medium complexity assignments and collaboratively on project teams while managing competing priorities and tight deadlines.
• Proficiency with Microsoft Office tools, including Excel, Word, PowerPoint, Visio, and Access.
• General understanding of business operations, health plan administration, financial reporting workflows, and information technology general controls (ITGCs).
• High school degree or equivalent is required unless otherwise noted.

Nice To Haves

• Master’s or graduate degree.
• Healthcare or managed care audit experience.
• Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or active pursuit of a professional certification.
• Familiarity with Optro audit software.
• Familiarity with data visualization or analytics tools such as Tableau, Power BI, SQL, or SAS.

Responsibilities

• Plan, conduct, and support Model Audit Rule reviews, operational audits, and related IT control testing in accordance with audit standards, company policies, and governmental regulations.
• Assess control design and operating effectiveness.
• Perform risk-based control evaluations across business and financial areas affecting financial reporting, including Claims Operations, Enrollment, Premiums, Provider Enrollment and Pricing, Accounting, and Information Technology.
• Prepare workpapers and audit reports, synthesize findings, and communicate control deficiencies and recommendations to Internal Audit leadership and business process owners.
• Follow up with business unit management to track and validate timely resolution of audit findings.
• Assist leadership with regulatory and operational readiness assessments.
• Manage multiple concurrent audit projects, report progress to project leaders, and meet deliverables and deadlines.
• Identify opportunities to improve audit methodologies, data analytics capabilities, and team efficiencies.

Benefits

• Comprehensive healthcare coverage, including medical, dental, and vision insurance.
• Wellness and well-being benefits.
• Tuition reimbursement.
• Retirement benefits, including a 401(k).
• Paid time off.
• Variable pay eligibility.
• Support for professional credentials, including CIA, CPA, and CISA.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level