Blue Cross Blue Shield Association

Senior Consultant, Performance Audit

Blue Cross Blue Shield Association

full-time

Posted on:

Origin:  • 🇺🇸 United States • District of Columbia, Illinois

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Salary

💰 $92,788 - $130,326 per year

Job Level

Senior

About 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, including 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 to facilitate development and completion of action plans for each performance program
  • Lead development and administration of various audit initiatives/programs that impact internal and external stakeholders
  • Provide Plans education and support via face-to-face training, webinars, Help Desk, one-on-one meetings, and collaborating with other BCBSA staff

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
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