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Senior Internal Audit Coordinator - NCQA Accreditation

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Job Details
Job Order Number
Company Name
Blue Cross - Blue Shield of Alabama
Physical Address
Birmingham, AL 35244
Job Description
The Senior Internal Audit Coordinator will be responsible for leading and monitoring NCQA Health Plan Accreditation This includes monitoring and reporting of quality and/or performance indicators, identification of opportunities for improvement, conducting qualitative barrier analysis, collaborating with business areas to identify strategies for improvement and monitoring the impact of initiatives The candidate should have knowledge related to quality standards and regulations including accreditation The incumbent will work collaboratively with the internal team to support research and analysis and incorporate policies and practices that ensure execution of a sound program The incumbent establishes and maintain partnerships with business areas and key personnel The incumbent will provide guidance to the Plan Performance Analyst positions The Senior Internal Audit Coordinator assists with various functions within the area including: Assisting all levels of management in the organization in the effective discharge of their responsibilities Providing analyses, appraisals, recommendations, counsel, and information concerning activities reviewed and by promoting effective control at reasonable cost Providing guidance for and direct the work of others assisting with projects Leading and developing staff, projects, resources and performance Leading and performing operational audits and reviews of business activities and their compliance with applicable standards and regulations; Including planning, creating, organizing and documenting work papers Leadership and coordination of audits performed by external auditors with little or no assistance from manager Leading and performing follow-ups related to previous internal and external audit findings with little or no assistance from manager Reviewing the work of other auditors and determine if work performed is accurate and sufficient to meet audit requirements and objectives Performing special projects as determined by the Department or Manager Participating in continuing education on audit methodologies, trends, professional standards, technological advances and Company processes Working with management to determine work assignments and schedules for area.

Internal Audit and Compliance serves our Company and our customers by promoting integrity, efficiency and compliance with applicable standards, laws and regulations, and by systematically monitoring, evaluating and communicating risk in support of the Company’s objectives Plan Performance provides assurance on our product service commitments by evaluating the timeliness, accuracy and delivery of our products and services to comply with our customer, National Committee for Quality Assurance (NCQA) Accreditation and Blue Cross Blue Shield Association (BCBSA) requirements

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