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Blue Cross and Blue Shield of Kansas
Blue Cross and Blue Shield of Kansas
1 001 – 5 000 Xodimlar
H1B vizasi homiysiKonsaltingSog‘liqni saqlashTibbiy sug‘urta
Blue Cross and Blue Shield of Kansas — Kanzas bo‘ylab jamoalarga xizmat ko‘rsatuvchi, polis egalari mulki bo‘lgan o‘zaro tibbiy sug‘urta kompaniyasidir. Shtatdagi eng yirik tibbiy sug‘urtalovchi sifatida kompaniya mamlakat bo‘ylab faoliyat yuritadigan 36 ta mustaqil reja bilan birga Blue Cross Blue Shield Association tarkibida ishlaydi. Bosh qarorgohi Topekada joylashgan BCBSKS Kanzas bo‘ylab qariyb 1 400 kishini ish bilan ta’minlaydi va mijozlar hamda sog‘liqni saqlash sohasi nuqtayi nazarlarini ham o‘z ichiga olgan turli yo‘nalishlardagi ekspertlarni vakillik qiluvchi 16 nafar kansaslikdan iborat direktorlar kengashi tomonidan boshqariladi. Kompaniya faoliyati tibbiy xizmat ko‘rsatuvchilarga har yili 1 milliard dollardan ortiq da’vo to‘lovlarini amalga oshirish hamda ish haqi va soliqlar orqali Kanzas iqtisodiyotiga 140 million dollardan ko‘proq hissa qo‘shishni o‘z ichiga oladi.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariAZArizonaFLFloridaMOMissuriNENebraskaNCShimoliy KarolinaSDJanubiy DakotaTXTexas
31 $ – 37 $ / soat
GibridTo‘liq stavkaO‘rta darajaSeniorTalab Qilinadigan Til: inglizchaAuditor

Tavsif

  • 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.

Talablar

  • 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.

Imtiyozlar

  • 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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