
5001 - 10000 employees
Founded 1933
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.
🔥 0 minutes ago
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5001 - 10000 employees
Founded 1933
🏥 Healthcare
🛡️ Insurance
⚕️ Healthcare Insurance
Healthcare • Insurance • Healthcare Insurance
Blue Cross NC is a health insurance provider that offers a range of health plans and services to individuals and groups. The company focuses on delivering quality healthcare coverage and improving health outcomes for its members through innovative health programs and services. Blue Cross NC is committed to enhancing access to affordable healthcare while supporting the health and wellness of the communities it serves.
• Serve as audit coordinator and/or representative for broader departmental audits, including annual, control, focused, and government contractually required audits • Determine information needed for audits and coordinate information gathering • Conduct self-testing and risk and control assessments as needed • Partner with Internal Audit and assist external auditors during recurring or required audits • Analyze interviews, observations, and inspections to identify error trends, root causes, compliance risks, and operational risks • Formulate tactical recommendations for quality and process improvements and mitigate risk and control deficiencies • Support and follow through on remediation strategies to maintain quality improvement gains • Present audit activities, issues, decisions, and risk/control matters at team meetings • Serve as a technical resource and assist with customer issues, system issues, training, and coaching/feedback • Partner with business areas to maintain and revise procedures and business processes • Represent the department on applicable project teams
• Bachelor's degree or advanced degree (where required) • 0-2 years of experience in related field • In lieu of degree, 3+ years of experience in related field • Previous experience working with Federal Employee Program (FEP) claims processing, administration, or support is a bonus
• Work-life balance, flexibility, and autonomy • Medical, dental, and vision coverage • Health and wellness programs • Parental leave and support • Adoption and surrogacy assistance • Career development programs • Tuition reimbursement for continued education • 401k match including an annual company contribution • Paid Time Off (PTO) • Annual Incentive Bonus • Remote work with a few in-office visits each year for meaningful moments
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