In this role the Sr Performance Adutitor will perform complex audits of core business processes, including claims payment, member benefits and enrollment, customer service inquiries, and provider contracts, with a focus on the Federal Employee Program (FEP) requirements. Responsible for demonstrating professional skepticism while performing intermediate-to-complex evaluations against program requirements to help leadership manage risk and identify and develop compensating controls. Support FEP external audit activities conducted by government and regulatory agencies and the Blue Cross Blue Shield Association requirements, including OIG/OPM. Must apply knowledge, skill, and experience over a broad range of technical program requirements and related business transaction processing functions.
