Apply on Employer Site

Independence Blue Cross · 11 hours ago

Audit Analyst

Philadelphia, PA

Full-time

Hybrid

Entry, Mid Level

Independence Blue Cross is seeking dynamic individuals for the role of Audit Analyst to help achieve their vision in innovating equitable whole-person health. The Audit Analyst will ensure timely execution of external audits, perform operational audits, and serve as a point of contact for stakeholders.

HealthcareProperty & Casualty InsuranceHealth InsuranceHealth CareInsuranceMedical

Responsibilities

Ensure timely and complete execution of external audits in accordance with established audit practices and regulations with a focus on testing, operational quality reviews, and material preparation for management review

Perform operational audits and provide results

Serve as point of contact for external and internal stakeholders

Review audit responses for accuracy and completeness and modify as needed for an internal or external audience

Prepare audit supporting documentation

Monitor resolution of systemic issues

Perform root cause analysis of issue trends identified through audits

Perform all other duties as assigned

Qualification

Healthcare audit experienceAudit procedures knowledgeHealthcare operations knowledgeClaims adjudication understandingOrganizational skillsPresentation skillsCommunication skillsCollaboration skills

Required

BA/BS in Business Administration, or healthcare related discipline, or equivalent knowledge acquired by on-the-job training and experience

Demonstrated Healthcare audit experience including Customer Service, Enrollment, Claim processing, Provider Service, Medicare/Medicaid, or Quality review related activities

Working knowledge of healthcare operations and general understanding of claim adjudication, provider pricing/contracting for eligibility, and healthcare benefit products

General working knowledge of operating systems related to claims, customer service, and enrollment

General understanding and knowledge of benefits coding and pharmacy services

Excellent organizational, presentation, and communication skills

Strong ability to collaborate and communicate with team members and business partners

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app

Preferred

Healthcare audit experience is preferred

Working knowledge of federal regulations regarding Federal Employee Program (FEP) is a plus

Working knowledge/understanding of audit procedures, requirements, and practices related to internal and external audits

General familiarity and acquire a working knowledge of BCBSA guidelines for Local Operations Scorecard (LOS) and BCBSA Licensee Desk Level Audit (LDLA) is a plus

Company

Independence Blue Cross

Glassdoor3.5

The leading health insurer in southeastern Pennsylvania. It is a sub-organization of Independence Blue Cross.

Founded in 1938

Philadelphia, Pennsylvania, USA

5001-10000 employees

https://www.ibx.com

Funding

Current Stage

Late Stage

Leadership Team

Alexandra Jorgensen

Senior Vice President Human Resources

Joe Geist

SVP & Market President, National

Recent News

PR Newswire

Corporate Insight Names CareFirst, Anthem BCBS, UPMC Health Plan and Wellmark as Digital Experience Leaders in Healthcare

2026-01-15

Home Health Care News

Independence Blue Cross Taps tango To Scale Value-Based Medicare Advantage Home Health Network

2026-01-14

PR Newswire

New study of IBX data finds that using NeuroFlow's digital platform to connect patients to behavioral health speeds up access to care, improves outcomes, and reduces costs

2025-12-11

Company data provided by crunchbase