Blue Cross Blue Shield Association Logo

Blue Cross Blue Shield Association

Performance Audit Senior Consultant (Remote)

Posted 15 Days Ago
Be an Early Applicant
In-Office or Remote
32 Locations
93K-105K Annually
Senior level
In-Office or Remote
32 Locations
93K-105K Annually
Senior level
The Performance Audit Senior Consultant ensures accurate customer interactions and conducts operational audits, presents recommendations, and supports Plans education while managing multiple priorities.
The summary above was generated by AI
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. This includes 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 in order to facilitate the development and completion of action plans for each performance program.
  • Lead in the development and administration of various audit initiatives/programs that impact internal and external stakeholders.
  • Provide Plans education and support by helping them to understand and properly execute operational and audit requirements in both formal and informal settings on a scheduled or ad-hoc basis. This includes providing face-to-face training, webinars, handling the Help Desk, one-on-one meetings, and collaborating with other BCBSA staff.
  • The posting range for this position is:
    $92,788.00-$105,000.00
    Qualifications
    Education
    • Required Bachelor's Degree in a business-related discipline or equivalent work experience
    Experience
    • 5+ Years related work experience Required

    Knowledge Skills and Abilities
    • 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. 

    #LI-Remote

    The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this postingWe may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay. 

    We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees. 

    Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. 

     

    Top Skills

    MS Office

    Similar Jobs

    3 Hours Ago
    Easy Apply
    Remote
    USA
    Easy Apply
    158K-185K Annually
    Senior level
    158K-185K Annually
    Senior level
    Artificial Intelligence • Blockchain • Fintech • Financial Services • Cryptocurrency • NFT • Web3
    The Senior Program Manager will lead cross-functional initiatives to enhance customer experience in the Risk and Fraud product domain by integrating customer insights into operations, optimizing workflows, and delivering measurable outcomes.
    3 Hours Ago
    Easy Apply
    Remote
    United States
    Easy Apply
    62K-90K Annually
    Mid level
    62K-90K Annually
    Mid level
    Big Data • Fintech • Mobile • Payments • Financial Services
    The Fraud Operations Performance Associate II monitors and enhances label accuracy in fraud cases, collaborates with teams, analyzes data, and provides feedback to improve operations.
    Top Skills: EkataEmailageLexisnexisLookerNetverifyOnfidoSalesforceSnowflakeTloTransunion
    9 Hours Ago
    Easy Apply
    Remote or Hybrid
    United States
    Easy Apply
    159K-353K Annually
    Senior level
    159K-353K Annually
    Senior level
    Artificial Intelligence • Information Technology • Machine Learning • Natural Language Processing • Productivity • Software • Generative AI
    Lead and manage Partner Managers to drive partner-sourced revenue, develop sales strategies, and foster relationships with distributors and resellers while ensuring alignment with company goals.
    Top Skills: Crm SystemsPartner Management ToolsSalesforce

    What you need to know about the Los Angeles Tech Scene

    Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.

    Key Facts About Los Angeles Tech

    • Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
    • Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
    • Key Industries: Artificial intelligence, adtech, media, software, game development
    • Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
    • Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
    • Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering

    Sign up now Access later

    Create Free Account

    Please log in or sign up to report this job.

    Create Free Account