Audit Analytics Senior Consultant
Core
Lead business analytical audits for BCBSA incentive programs, design automation infrastructure for award distribution, and implement prepayment controls in claims systems.
Role type
Senior IC audit analytics consultant (healthcare/insurance)
Builds
Automation infrastructure for incentive payments, prepayment controls in claims systems, and data analysis frameworks for audit programs.
Domain
Healthcare insurance / Managed care / Financial auditing
Required skills
SQL, Visual Basic (VBA), Microsoft Access, predictive modeling, risk stratification, quantitative analysis, data modeling, system testing, auditing principles, claims operations
Preferred skills
Generative AI literacy, Tableau, IDEA/Advantage Sweet, Master's degree, healthcare/government contracting experience
Technologies
SQL, Visual Basic, Microsoft Access, Tableau, IDEA/Advantage Sweet, Microsoft 365, Excel
Responsibilities
Lead audit activities for BCBSA Incentive program, develop and maintain automation infrastructure for award payments, implement prepayment controls into claims systems, perform complex root-cause and data analyses, provide technical support to audit teams, serve as liaison for system enhancements to resolve audit findings
Seniority
Senior, hands-on IC