Audit Analyst I
Blue Cross Blue Shield of Michigan · Detroit, Michigan, US
Under the direct supervision plan, organize and monitor audit coordination activities according to departmental priorities. Provide assistance to the primary...
Job description
Under the direct supervision plan, organize and monitor audit coordination activities according to departmental priorities. Provide assistance to the primary audit coordination functions in obtaining, analyzing and compiling data for audits of BCBSM by external parties. Perform claim analysis, respond to Par Plan inquiries and other assignments as required to meet corporate, divisional and departmental goals and objectives. " Qualifications " All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. - Plan, organize, direct and monitor audit coordination activities for external audits of small to medium ASC groups consisting of up to 200 claim samples. - Coordinate Claims Recovery and Voluntary Employee Benefit Association (VEBA) and Control Plan audits; approximately 5 to 25 audits concurrently. - Review and distribute questions from external auditors to appropriate departments and review the responses to validate their accuracy and completeness. - Distribute questionnaires fro...