Logo for Blue Cross and Blue Shield of Kansas

Benefit & Performance Auditor

Role overview

Qualifications

  • High school diploma or equivalent required
  • Minimum of 5 years’ experience in insurance customer service, claims, membership or related audit experience required
  • Experience with benefit performance auditing or related health insurance functions preferred
  • Strong analytical and critical thinking skills with attention to detail

Responsibilities

  • Conduct benefit and performance audits to evaluate compliance with contracts, policies, and regulatory requirements
  • Analyze operational processes to identify internal control weaknesses and recommend corrective actions
  • Prepare accurate and detailed audit work papers, findings, and reports
  • Present audit findings and recommendations to department leadership and other internal stakeholders

Hard skills

Other skills

  • Analytical Skills
  • Detail Oriented
  • Microsoft Office
  • Critical Thinking
  • Problem Solving
  • Organizational Skills
  • Communication
  • Social Skills

About the company

Blue Cross and Blue Shield of Kansas logo

Blue Cross and Blue Shield of Kansas

Health Insurance (Payers)

The largest health insurer in the state of Kansas. As a mutual insurance company, BCBSKS is owned by its policyholders. Its board of directors consists of Kansans from different areas of the state, 16 policyholders who bring to the table practical experience in business, medicine, hospital administration and education. Day-to-day operations are directed by a nine-person steering committee under the guidance of the company’s president/CEO. Customers and health care professionals have a voice in company activities through numerous advisory and liaison committees, as well as focus groups and surveys. BCBSKS is a financially secure, billion dollar company that contributes to the Kansas economy in several ways. The company surpasses $1 billion in annual claims payments to health care providers and members and contributes more than $140 million a year to the economy through payroll and taxes. The company's headquarters are located in Topeka, KS. Nearly 1,400 employees work in the company's various office locations in Topeka. In addition, about 110 employees work in offices in Dodge City, Garden City, Hays, Hutchinson, Independence, Lawrence, Manhattan, Pittsburg, Salina and Wichita. BCBSKS is a member of the Blue Cross Blue Shield Association headquartered in Chicago. There are 36 Blue Cross and Blue Shield Plans throughout the United States. Each Plan is separate and independent but all Plans cooperate with other Blue Cross and Blue Shield Plans in the exchange of ideas, processing of claims and providing inter-plan services to customers. For current job openings, please visit: www.bcbsks.com/careers

Company details

Company typeLarge
IndustryHealth Insurance (Payers)
Company size1001 - 5000

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Job description

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

Why Join Us?


  • Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
  • Family Comes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire.
  • Professional Growth Opportunities: Advance your career with ongoing training and development programs.
  • Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
  • Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
  • Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.

Benefits & Perks


  • Base compensation is only one component of your competitive Total Rewards package
  • Incentive pay program (EPIP)
  • Health/Vision/Dental insurance
  • 6 weeks paid parental leave for new mothers and fathers
  • Fertility/Adoption assistance
  • 2 weeks paid caregiver leave
  • 401(k) plan matching up to 5%
  • Tuition reimbursement
  • Health & fitness benefits, discounts and resources

Job Summary


The Benefit and Performance Auditor is responsible for conducting audits and reviews related to benefit administration, contract compliance, and performance standards to ensure accuracy, efficiency, and adherence to internal controls and corporate policies. The position supports organizational accountability through identifying process gaps, recommending improvements, and preparing formal audit reports in alignment with the Internal Audit Plan and regulatory expectations.

“This position is eligible to work remote, hybrid, or onsite in accordance with our Telecommuting Policy.”


What you’ll do


  • Conduct benefit and performance audits to evaluate compliance with contracts, policies, and regulatory requirements.
  • Analyze operational processes to identify internal control weaknesses and recommend corrective actions.
  • Prepare accurate and detailed audit work papers, findings, and reports.
  • Present audit findings and recommendations to department leadership and other internal stakeholders.
  • Support external audits and regulatory reviews by providing requested documentation and insight.
  • Maintain up-to-date knowledge of benefit programs, audit practices, and system functionality.
  • Provide training, direction, and support to less experienced auditors.
  • Ensure confidentiality and secure handling of sensitive data.
  • Collaborate with internal departments and external partners to resolve audit conditions.
  • Assist in the development and improvement of audit methodologies and procedures.

What you need


Knowledge/Skills/Abilities:


  • Strong analytical and critical thinking skills with attention to detail
  • Knowledge of benefit administration and contract performance standards
  • Ability to independently manage multiple audits and changing priorities
  • Proficient in using audit-related software and Microsoft Office applications
  • Excellent communication and interpersonal skills, both verbal and written
  • Ability to interpret and apply corporate policies, procedures, and regulatory guidelines
  • Demonstrated problem-solving abilities with a focus on root cause analysis
  • Strong organizational and documentation skills

Education and Experience: 


  • High school diploma or equivalent required.
  • Minimum of 5 years’ experience in insurance customer service, claims, membership or related audit experience required.
  • Experience with benefit performance auditing or related health insurance functions preferred.

Physical Requirements:

  • Must be able to work at a computer for extended periods of time.
  • Minimal travel may be required for audit purposes.
  • Ability to meet strict deadlines and adapt to changing audit schedules.

Compensation


Non-Exempt 14:

$31.58 - $37.50


  • Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid.  All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

Our Commitment to Connection and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.

Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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