blue cross blue shield associationChicago, IL
Audit Analytics Senior Consultant
Overview:
In this role you will lead analytics-driven audits supporting the BCBS incentive programs and the overall BCBSA Audit Program. You will work with cross-functional teams to design solutions, automate key processes, and ensure accurate distribution of awards and robust prepayment controls in claims systems. You will perform deep data analyses on financial, medical and enrollment data to identify root causes and suggest improvements that advance core quality objectives. This position offers the chance to influence audit strategy, drive efficiencies, and collaborate with senior stakeholders across the association. A strong focus on data, governance, and continuous improvement anchors this role,, Compensation / Benefits paid time off 11 holidays medical/dental/vision insurance 401(k) matching lifestyle spending account annual bonus incentive pay
Responsibilities:
Lead audits for the BCBSA Incentive program and support the Audit Program framework Develop and maintain automation infrastructure to ensure timely, accurate award payments Lead implementation projects for prepayment controls in the BCBS Claims System Perform complex data analyses (financial, medical, pharmacy, enrollment) to interpret findings and drive recommendations Provide ongoing technical support to Audit teams and affiliated plans throughout audit lifecycles Collaborate with BCBS entities to translate business requirements into system enhancements Contribute to healthcare data initiatives and projects involving information solutions Serve as SME to align business requirements with system solutions and audit findings
Key requirements:
Bachelor/MIS-focused admin degree or equivalent experience 5+ years of formal software/system testing in a business setting; health services preferred Excellent interpersonal and communication skills Ability to build consensus in a decentralized environment Ability to translate complex quantitative information into clear insights Microsoft 365 (incl. Excel) Visual Basic SQL
Also on the board Same function, level within a rung
Level
Lead
Location
Chicago, IL
Occupation
Management Analysts
Industry
Administrative Management and General Management Consulting Services
Posted
today