Blue Cross NC ยท 1 day ago
Auditor
Remote - Colorado
Full-time
Remote
Mid Level
$62K/yr - $99K/yr
3+ years exp
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Responsibilities
Auditing processed claims, customer inquiries and membership processing in compliance with mandated audit programs.
Assisting the senior performance auditor on audits of third-party administrators and external audits.
Providing feedback and data insights to the business areas for errors identified and reporting audit results to leadership.
Identifying and proposing possible corrective actions to address audit errors and training opportunities.
Completing audits and reports according to contractual agreements, audit requirements and deadlines in compliance with mandated guidelines.
Documenting audit findings to address all audit issues and performing quality analysis such as Root Cause Analysis.
Assisting Senior Auditors in conducting the audits of Third-Party administrators.
Participating in cross-functional team collaboration activities to develop training programs.
Qualification
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Required
Bachelor's degree or advanced degree (where required)
3+ years of experience in related field.
In lieu of degree, 5+ years of experience in related field.
Preferred
Analytical and Critical Thinking Skills
Attention to Detail
Strong Time Management, Organization and Presentation Skills
Effective Communication Skills
Proficiency in Microsoft Applications, including Power Point
Data Management Skills Preferred
Strong Business Acumen
Benefits
Annual Incentive Bonus
401(k) with employer match
Paid Time Off (PTO)
Competitive health benefits
Wellness programs
Company
Blue Cross NC
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way.
5,001-10,000 employees
Funding
Current Stage
Late StageLeadership Team
Priscilla Alfaro
VP- Payment Integrity
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