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Blue Cross and Blue Shield of Kansas
Blue Cross and Blue Shield of Kansas
1001 – 5000 Zaposleni
Sponzor vizuma H1BSvetovanjeZdravstveno varstvoZdravstveno zavarovanje
Blue Cross and Blue Shield of Kansas je vzajemna zdravstvena zavarovalnica v lasti zavarovancev, ki služi skupnostim po vsem Kansasu. Kot največja zdravstvena zavarovalnica v zvezni državi deluje v okviru združenja Blue Cross Blue Shield Association skupaj s 36 neodvisnimi načrti po vsej državi. Družba ima sedež v Topeki, zaposluje skoraj 1.400 ljudi po Kansasu, vodi pa jo upravni odbor 16 prebivalcev Kansasa z raznolikimi strokovnimi izkušnjami, vključno s področij uporabnikov in zdravstva. Njeno poslovanje vključuje letno izplačilo več kot milijarde dolarjev izvajalcem zdravstvenih storitev za zahtevke ter prispevek več kot 140 milijonov dolarjev h kansaškemu gospodarstvu prek plač in davkov.
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Delovna mesta v podjetju

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.

USZdružene države AmerikeAZArizonaFLFloridaMOMisuriNENebraskaNCSeverna KarolinaSDJužna DakotaTXTeksas
31 $ – 37 $ / ura
HibridnoPolni delovni časSrednja ravenSeniorZahtevani Jezik: angleščinaRevizor

Opis

  • 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.

Zahteve

  • 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.

Ugodnosti

  • 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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