Lead Regulatory Auditor Coordinator at Independence Blue Cross LLC

Posted in General Business 10 days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Philadelphia, Pennsylvania

Job Description:

The Lead Regulatory Audit Coordinator is
responsible for the following functions:

  • Coordinate external regulatory audits with the responsible
    business areas

  • Communicate effectively with all levels of management

  • Prepare clear and concise communications to senior

  • Research regulatory requirements relative to assigned audits

  • Maintains awareness of laws and regulations and conducts
    research as needed to identify applicable laws, regulations and practices to
    maintain compliance.

  • Review and determine how federal and state regulatory
    requirements impacts to the company and assist in the evaluation of the
    companies’ compliance with such requirements.

  • Complete ad hoc projects as requested by management,
    including but not limited to performing audits to help ensure deficiencies are

  • Apply data mining technology to audits/projects.

  • Development of corrective action plans, monitors
    effectiveness of corrective action plans, and provides training if indicated.

  • BA/BS in business, finance or related fields

  • Four plus years of experience in compliance field is a plus

  • CPA/CIA or JD preferred

  • Working knowledge of general and health insurance industry
    practices and principles preferred

  • Working knowledge of the State and Federal Mandates

  • Medicare Knowledge is a plus

  • Good oral and written communication skills

  • Strong attention to detail

  • Working knowledge in Microsoft Office tools (i.e. MS Excel,
    MS Word, MS Power Point) and working knowledge of other tools (i.e. MS Access)

Signup for an account or Login to get information on applying for a job.