Sr Performance Auditor – Fep

Sr Performance Auditor – Fep

Requirements

• Bachelor’s degree in accounting or related field, or equivalent work experience.
• Minimum of 4 years finance, auditing and/or business experience within the health insurance or related industry.
• Competent analytical skills, with the ability to analyze data and make recommendations.
• Skilled attention to detail with the ability to complete tasks accurately and completely keeping business regulations and rules in mind.
• Practiced communication skills, both verbal and written.
• Ability to be flexible and adaptable while recommending changes to workflow to improve processes while guiding others through it.
• Practiced understanding of how business risk affects business strategy.
• Demonstrated interpersonal skills with the ability to build, maintain and leverage business relationships and consultation skills to drive results.
• Ability to coach and mentor others by providing guidance and feedback to help strengthen their knowledge and skills.
• Travel required up to 5%.

Responsibilities

• Perform complex audits of core business processes, including claims payment, member benefits and enrollment, customer service inquiries, and provider contracts, with a focus on the Federal Employee Program (FEP) requirements.
• Demonstrate professional skepticism while performing intermediate-to-complex evaluations against program requirements to help leadership manage risk and identify and develop compensating controls.
• Support FEP external audit activities conducted by government and regulatory agencies and the Blue Cross Blue Shield Association requirements, including OIG/OPM.
• Apply knowledge, skill, and experience over a broad range of technical program requirements and related business transaction processing functions.

Preferred Qualifications

• Bachelor’s degree
• Audit/Compliance experience
• CPA, CIA, or similar certification, or willingness to work towards certification