FEP Corporate Performance Analyst
Audits
- Claims, customer service inquiries, member and group enrollment activities, product builds as well as focus and client audits as assigned.
- Supports Internal Audit and Special Investigations Unit (IA/SIU) with assistance as needed.
- Maintains adequate documentation to support all audit reviews and outcomes.
- Performs processes for assigned Performance Guarantee accounts to ensure accurate reporting of results.
- Participates in team collaborative efforts to resolve audit issues.
- Utilizes the internal SharePoint Audit Tool to communicate findings and follow up assuring corrective action is taken and documented.
Skills
- Research, analytical and problem-solving skills.
- Ability to communicate effectively with diverse audiences both in writing and verbally.
- Ability to address workload to meet numerous deadlines, accommodate and adapt to changing priorities.
Qualifications
- Research, analytical and problem-solving skills.
- Ability to communicate effectively with diverse audiences both in writing and verbally.
- Ability to address workload to meet numerous deadlines, accommodate and adapt to changing priorities.
Experience
- A minimum of 5 years’ experience in Claims, Membership or Customer Service (or combination of the three); depending on current business needs.
- Audit and/or analytical experience desired.
About the Role
This position is responsible for the audit functions related to determining and validating Plan performance, as it relates to Membership, Claims and Customer Service activity. This is accomplished through accordance with established policies, internal procedures and BCBSA mandated audit guidelines related to the Federal Employee Program (FEP).
Benefits
- Comprehensive benefits package including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.
Pay
The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future.
Schedule
Must be able to work over 40 hours per week. Must occasionally lift and/or move up to 5 pounds. Must be able to work in excess of 37.50 hours a week when necessary.
About Us
We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.