Performance Analyst

Audits:

• Audits FEP claims, customer service inquiries, member and group enrollment activities in accordance with Plan Incentive Program (PIP) guidelines.
• Completing Performance Guarantee audits.
• Supports IA and SIU with assistance as needed.

Documentation:

• Utilizing internal formatting, maintains adequate documentation to support all audit reviews and outcomes.
• Providing this material to the appropriate Performance Analyst for internal and BCBSA report compilation.

Collaboration:

• Participate in team collaborative efforts to resolve audit issues.
• Utilizes the internal SharePoint Audit tool to communicate findings and follow up assuring corrective action is taken and documented.