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Senior Analytics Auditor

3 months ago

Other US Location Blue Cross and Blue Shield of Louisiana Full time

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Residency in or relocation to Louisiana is preferred for all positions.

POSITION PURPOSE

Responsible for conducting and leading audits, investigations, and corporate-level consulting engagements to provide management with the necessary information to improve and maximize the value of the organization. Provides management with insights and recommendations to better manage risks, strengthen internal controls and deter or recover losses due to fraud and abuse. Accountable for complying with all laws and regulations associated with duties and responsibilities.


NATURE AND SCOPE
  • This role does not manage people
  • This job reports to: Departmental Leadership
  • Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with:
    Employees at all levels
    External contacts include:
    Providers, subscribers, group leaders, external consultants, attorneys, external auditors, governmental agencies, all levels of prosecutorial agencies other Blue Cross plans, and agencies/businesses as needed.

QUALIFICATIONS
Education
  • Bachelor's Degree in Business, Audit, Accounting or a related field as deemed necessary by department management required
  • Four years of related experience can be used in lieu of a Bachelor's degree.

Work Experience

  • 5 years of experience in a predominantly analytical position related to audit, fraud investigations, accounting, medical procedures or information technology required
  • Technology experience preferred
  • Internal or external audit experience strongly preferred

Skills and Abilities

  • Position requires strong human relation skills in addition to analytical ability. Also, strong communication skills both written and oral.
  • Must have the ability to manage time and personnel on a project and everyday basis.
  • Must have working knowledge of business and operations processes.
  • Must have working knowledge of Word, Excel, PowerPoint, and relevant audit software.
  • Must have broad knowledge of information technology concepts, practices, terminology, standards, and working knowledge of information technology general controls.
  • Must have the ability to understand applications and business systems.
  • Must have the ability to understand data concepts
  • Strong experience with analytics and visualization / business intelligence tools (i.e. SQL, Power BI, Tableau, etc.)
  • Self-sufficient and motivated with the ability to work independently.
  • Incumbent must maintain complete confidentiality of information encountered.

Licenses and Certifications

  • CIA, CPA, CFE, CISA, or other business licensures as approved by department management required

ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS
  • Defines, executes and administers assigned audits/cases and special projects to ensure established objectives are met, facts are properly presented and adequate conclusions are reached while demonstrating sound judgment/decision making and commitment to tasks.
  • Directs and monitors resources and distributes tasks to ensure efficient and effective use while continuously providing coaching, guidance and direction.
  • Identifiesand analyzes corporate enterprise actualand perceived risks and changes in business operations to ensure that the Company's exposure is minimized or mitigated.
  • Assists management in implementing and standardizing data analytics strategy and framework.
  • Uses data analytics to enhance the efficiency and effectiveness of the internal audit function.
  • Gains an understanding of available data resources and ways in which available data can be leveraged in the audit process.
  • Attends formal and informal training sessions and self-study to keep abreast of auditing and accounting standards, information technology concepts, and the evolving utilization, best practices, and trends in the use of data analytics for internal audit.

Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions

  • Perform other job-related duties as assigned, within your scope of responsibilities.
  • Job duties are performed in a normal and clean office environment with normal noise levels.
  • Work is predominately done while standing or sitting.
  • The ability to comprehend, document, calculate, visualize, and analyze are required.

#LI_JH1


An Equal Opportunity Employer

All BCBSLA EMPLOYEES please apply through Workday Careers.

PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)

Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact for assistance.

In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.