FEP Performance Analyst

FEP Performance Analyst

This position is responsible for the audit functions related to determining and validating Plan performance, as it relates to Membership, Claims and Customer Service activity. This is accomplished through accordance with established policies, internal procedures and BCBSA mandated audit guidelines related to the following compliance programs MTM, FEP, LDLA and OPM-MSP. Responsibilities and Qualifications

• Audits claims, customer service inquiries, member and group enrollment activities, product builds as well as focus and client audits as assigned.
• Supports IA and SIU with assistance as needed. Skills:
• Research, analytical and problem solving skills.
• Ability to communicate effectively with diverse audiences both in writing and verbally. Knowledge:
• Understanding of the Healthcare industry as it relates to Capital Blue Cross.
• Familiar with Microsoft Office applications especially Excel. Work Environment:

The job requires physical presence to perform tasks.