Remote Internal Controls Jobs in Baltimore, MD (NOW HIRING)

Resp & Qualifications

PURPOSE: 
Delivers standard system and data analysis and helps with tools and technology implementations for Payment Integrity- clinical editing.  Facilitate and coordinate building, document, and review of system, and data analysis techniques, methods, tools, process, and systems. Facilitate and coordinate data collection capabilities through collaboration with internal and external teams. Works closely with cross-departmental, peers, and internal team members.
ESSENTIAL FUNCTIONS:

• Identify, analyze gaps and document analysis conducted on software programs, applications, infrastructure and systems and services.
• Collaborates with internal departments and end users with the pre-defined scope.
• Collects data and conducts analysis for system and enhancement through collaboration with organizational teams.
• Drives implementation of changes for application, system, Infrastructure and services to meet organization needs.
• Coordinate and facilitate activities related to evaluate and recommend new tools or platforms or services to achieve organization goal.

QUALIFICATIONS:
Education Level: Bachelor's Degree in Computer Science, Information Technology, or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Experience: 3 years relevant system/technical analysis.
Knowledge, Skills and Abilities (KSAs)

• Ability to motivate self and foster a culture of continuous improvement and agile execution.
• Knowledge of system or analysis methods and evaluation criteria.
• Knowledge of application development, application/data architecture, Infrastructure, systems and processes.
• Knowledge of system analysis tools and techniques.
• Strong interpersonal skills and ability to work in a team-based environment.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. 

Salary Range: 64,944 - 128,986

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship