Blue Cross NCBusiness Process Auditor
Jul. 2022North Carolina, United StatesLead Third Party Agreement (TPA) audits to conform with the North Carolina Department of Insurance (NCDOI). Assist in complex audits of business operations, processes, and internal controls consistent with the COSO framework. Control all planning, execution, and reporting aspects to provide an overall assessment and present results to the auditees/ audit liaisons. Effectively document systems, methods, and risks to identify control gaps and deficiencies. Promote robust control and integrity of the process through narratives and flowcharts. Coordinates all the activities/requests between External auditors and key internal audit liaisons. Develop audit/project scope and objectives for audit manager approval.
• During data analysis, potential errors and deviations were communicated to the audit manager and audit liaisons.
•Assist management in developing a corrective action plan. •Prepare the formal audit report of findings and recommendations reported to management.
•Perform detailed follow-up, reviews, and validation procedures to assess the adequacy of corrective. •Successfully participated in the company’s Pro-Bono program. This program aims to provide free consulting services to smaller non-profit companies in North Carolina.
•Successfully partnered with team members to find relevant and actionable recommendations related to IT topics.
•Improve the analysis of the SLAs and Pgs.
•Improve information analysis to determine current or potential gaps in the TPA (Third Party Administrators) audits.
•Improve the walkthrough’s documentation.
•Successfully identified not-so-visible risks and gaps in the process in every engagement during the past two years.
•Successfully assist our external Auditor, Ernest & Young (EY), with some of the following control testing:
Restricted cash, third-party transactions, cash receipt disbursement, medical claims and cash testing, walkthroughs, and coordination of support requests on behalf of EY.