99 Sr Audit Analyst Jobs in Philadelphia, PA
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Susquehanna International Group (SIG)
Philadelphia, PA | Contractor
$79k-97k (estimate)
3 Months Ago
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Sr Audit Analyst
$71k-99k (estimate)
Full Time
3 Weeks Ago
Independence Blue Cross Careers is Hiring a Sr Audit Analyst Near Philadelphia, PA
- •Ensure the meeting of the timeline for external audits.
- •Address the most problematic and difficult functions associated with the External Audit function to ensure timely and complete execution of external audits in accordance with sound audit practices and regulations.
- •Review all internal responses from departments for accuracy and completeness.
- •Modify responses to address properly the audience for an internal or external party.
- •Prepare audit supporting documentation.
- •Perform and develop operational audits and provide results.
- •Monitor resolution of systemic issues.
- •Serve as information resource to Audit and client management regarding audit requirements and processes.
- •BA/BS in Business Administration, Accounting, or related discipline, or equivalent knowledge acquired by on-the-job training and experience.
- •Five (5) or more years of healthcare claims audit or progressively more responsible experience in Customer Service, Enrollment, Claims, Provider Services, Medicare, Quality, or related administrative activities
- •Extensive Knowledge of audit procedures, requirements and practices related to these audits.
- •Have familiarity and Acquire a Working Knowledge Working of BCBSA guidelines for Member Touchpoint Measures (MTM), BCBSA Line Desk Level Audit (LDLA) and Multi State Plan (MSP).
- •Extensive Knowledge of all key operating systems such as Interplan Teleprocessing System (ITS) and OSCAR for eligibility, customer service, enrollment, and claim processing issues.
- •Working Knowledge of benefits coding, package types for the HMO and PPO products.
- •Working Knowledge of pharmacy services.
Job Summary
JOB TYPE
Full Time
SALARY
$71k-99k (estimate)
POST DATE
05/24/2024
EXPIRATION DATE
08/14/2024
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