[Remote] Business Process Auditor Associate

Note: The job is a remote job and is open to candidates in USA. Blue Cross NC is seeking a Business Process Auditor Associate to provide independent and objective assurance and advisory services within a health plan environment. The role involves planning and executing risk-based audits, evaluating governance, risks, and controls, and ensuring compliance with regulatory requirements. Responsibilities Assist in planning and executing risk‑based audit and advisory engagements in accordance with IIA standards, the internal audit charter, and departmental methodology Develop an understanding of payer‑specific 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 third‑party oversight Prepare complete, accurate, and well‑organized 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 risk‑focused audit observations that align with audit standards and departmental expectations Support tracking and validation of management action plans and corrective actions 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 Build foundational knowledge of health plan operations, regulatory requirements, and internal control frameworks Participate in training, coaching, and feedback to develop audit skills and payer‑specific business acumen Demonstrate commitment to continuous learning and progress toward professional certifications (e.g., CIA, CPA, CISA) Skills 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 Assist in planning and executing risk‑based audit and advisory engagements in accordance with IIA standards, the internal audit charter, and departmental methodology Develop an understanding of payer‑specific 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 third‑party oversight Prepare complete, accurate, and well‑organized 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 risk‑focused audit observations that align with audit standards and departmental expectations Support tracking and validation of management action plans and corrective actions 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 Build foundational knowledge of health plan operations, regulatory requirements, and internal control frameworks Participate in training, coaching, and feedback to develop audit skills and payer‑specific business acumen Demonstrate commitment to continuous learning and progress toward professional certifications (e.g., CIA, CPA, CISA) 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 long‑term 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 Benefits 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 Company Overview It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. It was founded in 1933, and is headquartered in Durham, North Carolina, USA, with a workforce of 5001-10000 employees. Its website is