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Senior Internal Audit Consultant

Blue Cross Blue Shield of Alabama
Birmingham, AL Full Time
POSTED ON 3/6/2025
AVAILABLE BEFORE 6/6/2025

Overview

Department Overview

Internal Audit and Compliance serves our Company and our customers by promoting integrity, efficiency and compliance with applicable standards, laws and regulations, and by systematically monitoring, evaluating and communicating risk in support of the Company's objectives.

Plan Performance provides assurance on our product service commitments by evaluating the timeliness, accuracy and delivery of our products and services to comply with requirements established by our customers, the Blue Cross Blue Shield Association (BCBSA) and the National Committee for Quality Assurance (NCQA).

Primary Responsibilities

This position assists with various functions within the area including but not limited to :

  • Assist all levels of management in the organization in the effective discharge of their responsibilities
  • Provide analyses, appraisals, recommendations, counsel, and information concerning activities reviewed and by promoting effective control at reasonable cost
  • Reviewing the work of other business areas to determine if the work performed is accurate and sufficient to meet NCQA requirements and objectives.

Assess the impact the areas they support (health and clinical engagement NCQA team, work closely with Healthcare Analytics, team within PPM)

  • Provide guidance for and direct the work of others assisting with projects
  • Lead and develop staff, projects, resources and performance
  • Summary of Qualifications

  • Bachelor's Degree in Accounting, Finance, Healthcare Administration or other related business field
  • Five years of experience directly related to financial and / or operational audit or consulting
  • Interpersonal skills to work with technical and non-technical management and staff
  • Strong experience working independently or as a team member to resolve problems without direct supervision
  • Strong experience communicating effectively orally and in writing to document projects in a concise and thorough manner
  • Excellent presentation skills
  • Technical skills / programming aptitude in order to learn programming software
  • Organizational skills necessary to manage multiple projects with various priorities
  • Excellent interpersonal and leadership skills, with the willingness to negotiate and integrate conflict-management skills into challenging situations preferred
  • Willingness to meet stringent deadlines and manage changing priorities preferred
  • Experience in a position leading large scale corporate projects or initiatives strongly preferred
  • Knowledge of data analysis techniques and interpretation preferred
  • Extensive experience with NCQA Health Plan Accreditation strongly preferred
  • Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) certification preferred
  • Terms and Agreements

    By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.

    We appreciate your interest in Blue Cross and Blue Shield of Alabama 'The Company'. The Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen. No question on this application is intended to secure information to be used for such discrimination.

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