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Senior Auditor

2 months ago

Detroit, Michigan, United States Blue Cross Blue Shield of Michigan Full time
Job Summary

We are seeking a highly skilled and experienced Senior Auditor to join our team at Blue Cross Blue Shield of Michigan. As a Senior Auditor, you will play a critical role in ensuring the accuracy and integrity of our operations.

Key Responsibilities
  1. Conduct Audits and Reviews: Conduct thorough audits and reviews of our operations to identify areas for improvement and ensure compliance with regulatory requirements.
  2. Develop and Implement Audit Programs: Develop and implement audit programs to enhance the overall efficiency of our operational procedures, methods, controls, and performance.
  3. Analyze and Report Findings: Analyze and report findings to management and other stakeholders, providing recommendations for improvement.
  4. Collaborate with Cross-Functional Teams: Collaborate with cross-functional teams to identify and implement process improvements.
  5. Provide Training and Support: Provide training and support to staff on audit procedures and best practices.
Requirements
  1. Education: Bachelor's degree in a health-related field or a related field.
  2. Experience: 4-7 years of experience in a related field, with a strong background in operational analysis, data analysis, and problem resolution.
  3. Certifications: Current unrestricted state of Michigan Registered Nurse license required.
Preferred Qualifications
  1. Medical Coding Knowledge: Thorough understanding of medical coding (CPT-4; HCPCS; ICD-9 or DRG) as it relates to audits.
  2. Project Management Skills: Ability to plan, organize, direct, and control projects.
  3. Communication Skills: Excellent written and verbal communication skills.
  4. Leadership Skills: Ability to lead and contribute to process improvement projects.
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.