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Blue Cross Blue Shield Association · 2 days ago

Performance Audit Senior Consultant (Remote)

United States

Full-time

Remote

Senior Level

$93K/yr - $105K/yr

5+ years exp

Blue Cross Blue Shield Association is seeking a Performance Audit Senior Consultant to ensure that Plans' operations handle customer interactions accurately and promptly. The role involves executing audit programs, analyzing performance results, and providing education and support to Plans on operational and audit requirements.

CommunitiesInsurance

Responsibilities

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