Salary
💰 $92,788 - $130,326 per year
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