As Team Leader Performance Auditing and Investigation you will direct a team with accountability for corporate performance and quality audits pertaining to medical claims payments, membership/enrollment, customer service inquiries, provider data accuracy, provider contracts, and performance guarantees. This team is also responsible for contributions to Audit Services’ Master Audit Plan (MAP) and audit activities related to requests by external third parties. You'll serve as a key leader in the Audit Services department through oversight and quality review responsibilities for performance and quality audits, internal audit projects as assigned, and external audit coordination activities. Contributing to the overall corporate mission by providing leadership, planning, and daily direction to the Performance Auditors and external audit coordinators is a key role for the department. You'll also hold overall accountability for Wellmark’s testing and reporting of operational performance metrics to the Blue Cross Blue Shield Association, including the Federal Employee Program.
