Senior External Audit Specialist

Capital Blue Cross

. Plan, organize, and lead external audit projects related to group benefit examinations, group audits, BCBSA audits, and contractual compliance reviews .

Posted 11/6/2026full-timeRemote • Pennsylvania • United StatesSenior💰 $75,400 - $140,020 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing external audit projects, ensuring compliance with contractual obligations, and maintaining collaborative relationships with auditors. Proficient in project management, analytical problem-solving, and effective communication across organizational levels.

Highest-signal resume keywords

External Audit ManagementProject ManagementCompliance ExpertiseCertified Public Accountant (CPA)Microsoft Office Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Audit Tracking ToolsAnalytical SkillsProblem-Solving SkillsOrganizational SkillsNegotiation SkillsKnowledge of Capital SystemsUnderstanding of Compliance ClausesContractual Audit Rights ReviewPerformance TrackingReport Preparation

Soft Skills

Effective CommunicationRelationship BuildingAdaptability to Changing Priorities

Tools & Technologies

MARISSalesforceFACETS

Certifications & Qualifications

Certified Quality Auditor (CQA)Certified Internal Auditor (CIA)Certified Information Systems Auditor (CISA)Certified Risk Management Assurance (CRMA)Certified Analytics Professional (CAP)

Industry Keywords

Health Insurance IndustryGroup Benefit ExaminationsContractual Compliance ReviewsCapital Commercial ProductsInternal Audit Processes

About the role

Key responsibilities & impact

Plan, organize, and lead external audit projects related to group benefit examinations, group audits, BCBSA audits, and contractual compliance reviews
Act as primary liaison between external auditors and Capital operational areas
Track and manage audit deliverables, ensuring timely completion and accurate documentation
Provide training to internal parties supporting external auditors and reviewing audit exceptions
Recommend and develop department policies and procedures
Ensure Capital meets contractual obligations related to group audit rights and compliance clauses
Review proposed changes to contractual audit rights with Legal and advise Sales and Underwriting Management
Maintain collaborative relationships with external auditors and ensure adherence to Capital standards
Lead audit-related meetings, including with senior leadership
Provide guidance on Capital processes and organizational structure
Oversee, coordinate, and schedule external audits, examinations, and surveys
Maintain an external audit schedule, collect requested documentation, and ensure timely, professional responses
Monitor audit items, assign tasks, and ensure timely follow-up
Recommend corrective actions and verify implementation through performance tracking
Communicate audit progress and compliance risks to Capital leadership
Prepare and present reports for management review

Requirements

What you’ll need

5 years' experience in compliance/audit
Project management experience required
Bachelor’s degree in accounting, finance, business, or data analytics, or the equivalent of 8 or more years in project management and/or audit experience required
Advanced degree preferred
Certifications preferred: Certified Quality Auditor (CQA), Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA), Certified Public Accountant (CPA), Certified Risk Management Assurance (CRMA), Certified Analytics Professional (CAP)
Deep understanding of Capital systems and processes
Strong negotiation skills
Proficiency in Microsoft Office Suite and audit tracking tools
Analytical and problem-solving skills
Exceptional organizational and project management skills
Knowledge of Capital commercial, ancillary, and government product lines and supporting operations
Working knowledge of sales, marketing, enrollment, billing, underwriting, configuration, IT, claims, customer service, clinical management, government programs, internal audit, and finance processes, preferably in the health insurance industry
Familiarity with MARIS, Salesforce, and FACETS
Ability to communicate effectively across all organizational levels
Ability to establish and maintain cooperative professional relationships
Ability to adjust to changing priorities and meet urgent deadlines

Benefits

Comp & perks

Medical, Dental & Vision coverage
Retirement Plan
Paid Time Off
Holidays
Volunteer time off
Incentive Plan
Tuition Reimbursement
Flexible environment
Training and continuing education
Community volunteering opportunities