Senior Performance Audit Consultant

1 day ago

Omaha, NE, United States Blue Cross Blue Shield companies Full time

Join our team as a Senior Performance Audit Consultant, where you will play a key role in ensuring that our operations handle customer interactions with accuracy and efficiency, leaving a positive impression of our brand. Your responsibilities will include executing audit programs, validating reported results, and presenting valuable updates and recommendations at various events. You will also contribute to strategic planning by creating materials, presentations, and documentation, while developing and improving standard operating procedures for departmental functions.

Your key responsibilities will include:

  • Overseeing the execution of Operational Audit Programs for Plans, focusing on local and inter-Plan claim processing, customer service processing, and enrollment processing.
  • Analyzing performance results and leading cross-functional meetings with Plan stakeholders to develop and fulfill action plans for each performance program.
  • Developing and administering audit initiatives and programs that impact internal and external stakeholders.
  • Providing educational support to Plans, helping them understand and execute operational and audit requirements in both formal and informal settings through training sessions, webinars, Help Desk support, and collaborative meetings.

Salary Range: $92,788.00 - $105,000.00

Qualifications:

  • Education: Bachelor's Degree in a business-related discipline or equivalent work experience.
  • Experience: 5+ years of related work experience required.

Knowledge, Skills, and Abilities:

  • Ability to manage and adapt to multiple, changing priorities.
  • Proficiency in Microsoft Office and internet technologies.
  • Strong research and analytical skills (both quantitative and qualitative).
  • Excellent oral and written communication and presentation skills.
  • Familiarity with BlueCross Blue Shield and Inter-Plan Programs.

This position is also eligible for an annual bonus incentive.

We offer a comprehensive benefits package including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, and a lifestyle spending account, among other benefits. Join us to help make a difference

Note: Compensation details regarding the position and any bonuses or commissions are subject to company discretion and may vary based on numerous factors such as qualifications, experience, and business needs.

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