Remote New

Business Process Auditor Associate

Blue Cross and Blue Shield of North Carolina
$55,370.00 - $88,592.00
parental leave, paid time off, tuition reimbursement, 401(k)
United States, North Carolina
Apr 02, 2026
Job Description We are seeking a Business Process Auditor Associate to provide independent and objective assurance and advisory services within a health plan or payer environment regulated by state, federal, and contractual requirements. This position will give you valuable experience in evaluating governance, risks, and controls across health plan operations. Under audit management's direction, you'll gain important skills in auditing, risk assessment, professional judgment, consulting, and relationship development. What You'll Do Assist in planning and executing riskbased audit and advisory engagements in accordance with IIA standards, the internal audit charter, and departmental methodology. Develop an understanding of payerspecific risks, including regulatory compliance, delegation oversight, operational accuracy, timeliness requirements, and data reliability. Perform assigned audit procedures including walkthroughs, risk identification and assessment, and control identification and testing. Support audits covering areas such as claims processing, utilization management, quality programs, enrollment, appeals and grievances, delegated arrangements, and thirdparty oversight. Prepare complete, accurate, and wellorganized audit workpapers that support conclusions and are suitable for management, regulatory, and external review. Apply professional skepticism and due professional care when evaluating evidence and compliance with requirements. Communicate professionally with business partners operating in a highly regulated environment. Assist in drafting clear, factual, and riskfocused audit observations that align with audit standards and departmental expectations. Support tracking and validation of management action plans and corrective actions. Ethics, Independence & Confidentiality Adhere to the IIA Code of Ethics, maintaining integrity, objectivity, confidentiality, and competency. Handle sensitive member, provider, and operational information in accordance with confidentiality and privacy requirements. Maintain independence and objectivity and appropriately escalate potential conflicts of interest or impairments. Learning, Quality & Professional Development Build foundational knowledge of health plan operations, regulatory requirements, and internal control frameworks. Participate in training, coaching, and feedback to develop audit skills and payerspecific business acumen. Demonstrate commitment to continuous learning and progress toward professional certifications (e.g., CIA, CPA, CISA). What You Bring Bachelor's degree or advanced degree (where required) 0-2 years of experience in related field. In lieu of degree, 3+ years of experience in related field. Bonus Points Exposure to analytics and data visualization tools such as Power BI or Tableau. Demonstrated critical thinking and analytical skills, with the ability to evaluate information and apply sound judgment in a collaborative environment. Interest in developing a career within Internal Audit, including learning the health insurance business and internal control environment. Motivation to pursue professional certifications such as CIA, CPA, or CISA as part of longterm career progression. Willingness to work in a hybrid environment, with the ability to be onsite at the Durham campus as needed to support training, collaboration, and development. What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. Based on annual corporate goal achievement and individual performance. $55,370.00 - $88,592.00 Skills _____________________________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.