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Blue Cross and Blue Shield of Kansas
Blue Cross and Blue Shield of Kansas
1001 – 5000 Darbinieki
H1B vīzas sponsorsKonsultācijasVeselības apdrošināšanaVeselības aprūpe
Blue Cross and Blue Shield of Kansas ir apdrošinājuma ņēmējiem piederoša savstarpējās veselības apdrošināšanas sabiedrība, kas apkalpo kopienas visā Kanzasas štatā. Tā ir štata lielākā veselības apdrošināšanas sabiedrība un darbojas kopā ar 36 neatkarīgiem plāniem visā valstī ietilpstošās Blue Cross Blue Shield Association sastāvā. Topekā bāzētais BCBSKS nodarbina gandrīz 1400 cilvēku visā Kanzasā, un to pārvalda 16 kanzāniešu valde, kurā pārstāvēta daudzveidīga pieredze, tostarp klientu un veselības aprūpes perspektīvas. Uzņēmuma darbība ietver vairāk nekā 1 miljarda ASV dolāru ikgadēju atlīdzību izmaksu veselības aprūpes pakalpojumu sniedzējiem, kā arī ieguldījumu Kanzasas ekonomikā vairāk nekā 140 miljonu ASV dolāru apmērā algu un nodokļu veidā.
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Vakances uzņēmumā

Benefit and Performance Auditor

Conduct audits of insurance benefits, contract compliance, and performance. Identify control gaps, report findings, and help strengthen accountability at Blue Cross and Blue Shield of Kansas.

USAmerikas Savienotās ValstisAZArizonaFLFloridaMOMisūriNENebraskaNCZiemeļkarolīnaSDDienviddakotaTXTeksasa
31 $ – 37 $ / stunda
HibrīdiPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuRevidents

Apraksts

  • Evaluate contracts, policies, and regulatory compliance through benefit and performance audits.
  • Review operational processes for control weaknesses and recommend corrective steps.
  • Document audit procedures, findings, and reports with accuracy and detail.
  • Share audit results and recommendations with department leaders and internal partners.
  • Provide documentation and context for external audits and regulatory reviews.
  • Keep current on benefit programs, auditing practices, and system capabilities.
  • Train and guide auditors with less experience.
  • Protect confidential information and handle sensitive data securely.
  • Work with internal teams and external partners to address audit findings.
  • Help refine audit methods and procedures.

Prasības

  • Apply strong analytical and critical thinking skills, with careful attention to detail.
  • Understand benefit administration and contract performance standards.
  • Manage several audits independently while adapting to shifting priorities.
  • Use audit software and Microsoft Office applications effectively.
  • Communicate clearly in writing and conversation and work well with others.
  • Interpret and apply company policies, procedures, and regulatory guidance.
  • Investigate problems and identify their underlying causes.
  • Keep audit records and supporting documentation well organized.
  • High school diploma or equivalent.
  • At least five years of experience in insurance customer service, claims, membership, or a related audit role.
  • Experience in benefit performance auditing or related health insurance work is preferred.
  • Work at a computer for extended periods.
  • Meet tight deadlines and adapt to changing audit schedules.
  • Minimal travel may be needed for audit work.
  • As a condition of an offer, candidates must complete pre-employment drug screening, criminal conviction and employment checks, and education verification.

Priekšrocības

  • Paid vacation and sick leave.
  • Paid maternity and paternity leave available from the start of employment.
  • Incentive pay through the EPIP program.
  • Health, vision, and dental insurance.
  • Six weeks of paid parental leave for new mothers and fathers.
  • Fertility and adoption assistance.
  • Two weeks of paid caregiver leave.
  • 401(k) matching of up to 5%.
  • Tuition reimbursement.
  • Health and fitness benefits, discounts, and resources.
  • Ongoing training and development.
  • Flexible work environment.

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