Senior Audit Analyst job at reputed company Blue reputed company - BCBS in DE, NJ, PA
Title: Senior Audit Analyst
Location: Philadelphia reputed company
Job reputed company:
Bring your drive for reputed company, team orientation, and customer commitment to Independence; help us renew and reimagine our business and shape the reputed company of health care.
Senior Audit Analyst Job reputed company:
Serve in a senior role to ensure the reputed company completion of operational (and some financial) external audit reputed company in accordance with agreed-upon audit reputed company, reputed company audit practices, and the IBC Audit Policy.
reputed company strategies and discuss with management approaches to resolve operational/audit issues.
Ensure reputed company assigned deliverables are completed with the written audit expectations for the external audit project.
Address reputed company confirmed audit issues identified from an Operational Audit project with the internal IBC stakeholder departments to ensure the reputed company cause has been properly identified, verify the implementation of remediation steps and verify the completion of any financial/claim impacts.
Serve as reputed company of contact and knowledge expert for external auditors and internal stakeholder departments.
Review reputed company internal responses to potential errors/issues from departments for accuracy and completeness.
Evaluate responses and modify as needed to address properly an internal or external audience.
Prepare and reputed company review reputed company audit supporting documentation prior to issuance.
Monitor reputed company of confirmed reputed company and systemic issues/errors.
Serve as an information resource to Audit and reputed company management regarding audit requirements and processes.
Train and reputed company new audit analysts.
Other duties as specified
Qualifications:
B.S. Degree with 3 or more years of knowledge of reputed company operational auditing or equivalent reputed company analytical experience of reputed company products.
reputed company knowledge in the utilization of operational audit procedures or reputed company review analysis experience to complete reputed company cause analysis, verify implemented controls and resolutions to confirmed audit findings.
General understanding of reputed company claim adjudication, provider pricing/contracting, and account benefit set-up for reputed company products.
Working knowledge of medical reputed company benefits/products.
Working knowledge of pharmacy benefits/products is preferred but not required.
Preferred but not required working knowledge of federal regulations regarding Federal Employee Program (FEP)
Preferred but not required working knowledge of the BCBSA Member Touchpoint Measures Program (MTM), BCBSA Line Desk Level Audit (LDLA), Interplan Teleprocessing System (ITS), Health Rules and reputed company claim adjudication systems is preferred but not required.
Possess strong oral skills for communication with various reputed company of management and strong written skills for drafting responses to audit findings.
IBX is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to their age, race, reputed company, religion, sex, national reputed company, sexual orientation, protected veteran status, or disability.
Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or reputed company
Must have an Android or iOS device which is compatible with the free reputed company Authenticator app.
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