Senior Auditor - AmeriHealth Administrators
Qualifications:
- Expert knowledge of audit procedures and audit best practices
- Working knowledge of BCBSA MTM, IPP, and LDLA Programs preferred
- Undergraduate degree in business or accounting with a minimum 5 years related audit experience. In the absence of an undergraduate degree, a minimum 7 years related practical experience is required.
- Working knowledge of healthcare operations, auditing and quality assessment programs that include benefits, clinical coding, claims adjudication, enrollment, customer service and related operational processes and systems.
- Strong analytical ability to identify data populations, use random sampling techniques, establish facts and employ mathematical concepts to draw conclusions from data.
- Ability to interpret an extensive variety of technical instructions, complex data with abstract and concrete variables.
- Ability to document audit findings and to draft executive summaries and comprehensive audit reports.
- Ability to handle a wide variety of complex tasks with competing priorities
- Proven ability to adhere to work plans and schedules, coordinate projects, facilitate meetings and communicate with all levels of associates across the organization.
- Demonstrated ability with Word and Excel required; experience with Power Point preferred.
- Excellent interpersonal, organizational, presentation and communication skills.
- Strong teamwork and collaboration skills.
- Knowledge of Third Party Administration experience is a plus.
Inclusion and Belonging
At AmeriHealth Administrators, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
AmeriHealth Administrators is one of the largest national third-party administrators providing innovative, value-based health benefits programs and outsourcing services for self-funded health plans and other organizations.
The company also provides customized outsourcing services for TPAs and other payers, student health plans, and fully insured products.
AmeriHealth Administrators serves 1 million plan members in all 50 states and processes over 6 million claims annually.
Equal Employment Opportunity
AmeriHealth Administrators is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an AmeriHealth Administrators employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of AmeriHealth Administrators and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by AmeriHealth Administrators or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.