B

Blue Cross and Blue Shield of Louisiana

Health insurance plans and wellness services

Lead Audit Services Consultant

Full-TimeUpdated on 10/23/2026
No salary listed
Expert
Bachelor's, Master's
Remote in USA
RemoteRemote in the United States. Residency in or relocation to Louisiana is preferred.
Risk & ComplianceInternal Audit & Controls
No H1B Sponsorship

About the job

Requirements
  • More than 10 years of audit, finance, and/or information systems experience with a strong working knowledge of risks, controls, and the control environment.
  • A bachelor's degree in Accounting, Computer Science, or another technical program including mathematics, applied physics, or Business Administration is required; six years of related work experience may be used in lieu of a degree.
  • Advanced knowledge of business and operations processes and concepts.
  • Ability to manage time and staff assigned to projects daily, with strong analytical and organizational abilities.
  • Advanced knowledge of information technology concepts, practices, terminology, and standards, with the ability to conduct or engage in complex technology-related discussions.
  • Advanced knowledge of Word, Excel, PowerPoint, and other relevant software.
  • Broad knowledge of information technology and control concepts, and application knowledge of business systems.
  • Expertise in three and intermediate knowledge in seven of the following competencies: Business Operations; Continuous Control Monitoring; Process Improvement; Project Management; Enterprise Architecture; Enterprise Strategy; Risk Management; Information Technology and Cybersecurity; Healthcare Core Administrative Systems (Trizetto Facets); Care and Disease Management Systems (Zeomega Jiva); Enterprise Resource Planning for Finance or Human Resources (Oracle Peoplesoft, Workday); Microsoft Azure; Amazon Web Services; and DevSecOps.
  • Expert knowledge of IIA Standards; interpersonal skills in teamwork, facilitation, and negotiation; leadership, analytical, technical, written and verbal communication, planning, and organizational skills; ability to understand long- and short-term perspectives, estimate financial impacts of alternatives, apply technical solutions to business problems, quickly comprehend new technologies, knowledge of information principles and processes, basic knowledge of financial models and budgeting, understanding of network and security architecture, and ability to adapt to organizational needs and challenges.
  • A Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), or Certified Internal Auditor (CIA) credential is required.
  • Applicants must be authorized to work in the United States without employer-sponsored immigration support.
  • The role requires the ability to comprehend, document, calculate, visualize, and analyze.
  • A pre-employment background check and drug screening are required; employment is subject to satisfactory drug test results.
  • Individuals convicted of a felony involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Responsibilities
  • Lead consulting engagements and reviews, including special projects, to identify and assess inherent risks in new and existing processes, technologies, and financial and operational controls.
  • Perform and supervise assignments across financial, operational, and information technology audit areas.
  • Identify risks and issues and provide advisory input on control needs, design, and development related to business operations, information technology and security, and financial management.
  • Provide consulting and advisory services in selecting new business and technology solutions.
  • Comply with all laws and regulations associated with the position's duties and responsibilities.
  • Provide leadership, project management, and enhancements to the audit functions within the Corporate Audit Division.
  • Manage and coordinate the Corporate Audit Planning process and its documentation.
  • Manage development, review, and publication of Audit Committee Charters, the Corporate Audit Divisional Charter, standards, and policies.
  • Create and present improvement opportunities for the Audit Consulting practice and its artifacts.
  • Facilitate strategic and technical discussions about consulting practices.
  • Define, collect, synthesize, analyze, and work with Audit Consulting Services management to develop and report relevant metrics demonstrating the practice's maturity and value.
  • Mentor and coach staff and senior Audit Service Consultants.
  • Define, execute, and manage audits and special projects as assigned to complete the annual audit plan.
  • Communicate audit issues to all levels of management and staff through timely discussion issues and audit reports.
  • Assess and identify operational, financial, and technology-based risks and control deficiencies, and provide summary reports to the appropriate business areas.
  • Advise on addressing risk, resolving issues, and implementing recommended changes to existing and new operational, financial, and technology-related controls.
  • Manage, direct, review, and perform audit and special-project procedures as appropriate, including work that could otherwise create a conflict of interest or impair independence, to ensure unbiased audits.
  • Direct, monitor, and schedule auditors and tasks when appropriate to use resources efficiently and effectively, while providing coaching, guidance, and direction.
  • Oversee, manage, and review external requests from groups, regulatory agencies, internal departments, or other external parties, ensuring coordination and accuracy of presented data.
  • Attend training and self-study to stay current on information technology concepts, industry practices, security technologies, and auditing and accounting standards.
  • Serve as liaison between the Audit Division and other company areas to maintain working relationships with auditees.
  • Collect and analyze surveys to determine whether Corporate Audit is meeting auditee expectations and needs.
  • Assess auditee needs, requests, and requirements, including requests for consulting services and special projects.
  • Attend oversight and standing meetings to determine the level and timing of audit involvement.
  • Guide development and take responsibility for ongoing quality assurance.
  • Lead coordination and completion of the annual risk assessment process, including timelines, meetings, updates, and presentation to the Chief Audit Executive, with recommendations for projects and a work plan for the Audit Committee of the Board of Directors.
  • Complete internal quality assurance of audit processes for audits and projects before issuing final reports.
  • Document and assess gaps, prepare remediation, and perform follow-up to prepare the Corporate Audit Division for Quality Assurance Reviews.
  • Perform other job-related duties within the scope of responsibilities.
Desired Qualifications
  • Healthcare industry experience.
  • A master's degree in Accounting, Computer Science, or Business Administration or a related field.
  • Understanding of infrastructure and security requirements, such as HIPAA.

About the company

B

Blue Cross and Blue Shield of Louisiana

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BCBSLA provides health insurance to residents of Louisiana, offering medical coverage, prescription drug plans, wellness programs, and social support services. Premiums from individuals, families, and businesses fund the plans, and members access a network of providers to receive covered services, prescriptions, and preventive care, with claims processed through the plan; added services may include gym memberships and health education. The company differentiates itself with a strong local focus in Louisiana, a broad in-state provider network, and value-added services plus clear, up-to-date benefit information. Its goal is to improve the quality of healthcare while making it affordable and accessible for Louisianians.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Inniswold, Louisiana

Founded

1934

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Simplify Jobs

Simplify's Take

What believers are saying

  • Sabrina Hogan took government-programs leadership in July 2026, sharpening Medicare and Medicaid execution.
  • Louisiana Blue expanded MyLABlue access for Medicare Advantage members on June 8, 2026.
  • The company earned Civic 50 recognition for 2026, supporting employer brand and retention.

What critics are saying

  • The $421 million St. Charles case reached the Louisiana Supreme Court in September 2026.
  • Bryan Camerlinck announced retirement in February 2026, forcing a CEO search by year-end.
  • Loss of the Elevance sale leaves Louisiana Blue without a capital backstop against litigation.

What makes Blue Cross and Blue Shield of Louisiana unique

  • Louisiana Blue remains Louisiana-focused, with local offices, networks, and member branding.
  • Its 2026 Medicare Advantage and Healthy Blue leadership shows government-program specialization.
  • The company pairs insurance with visible community programs like Blue Bikes and Foundation grants.

Help us improve and share your feedback! Did you find this helpful?

Benefits

  • Flexible Work Hours
  • Remote Work Options
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Vacation
  • Paid Holidays
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Wellness Program
  • Mental Health Support
  • Phone/Internet Stipend

Growth & Insights and Company News

6 month growth

0%

1 year growth

1%

2 year growth

3%
Patient Access Collaborative
Aug 17th, 2026
Access as a value driver: connecting access to value-based care.

Access as a value driver: connecting access to value-based care. Date posted August 17, 2026 Posted By: Elizabeth Woodcock in Podcast Ambulatory access has long been framed as an operational function. Answer the phones. Send appointment reminders. Fill the schedule. Reduce no-shows. But what if we have been underestimating its value? Across health systems, access leaders are performing work that directly improves outcomes, reduces unnecessary utilization, and strengthens performance under value-based arrangements. The challenge is not the work itself. It is how that work is positioned - and recognized. Too often, efforts to improve the performance of ambulatory access are internally focused. We work to improve workflows, redesign templates, and streamline intake. And in many cases, we encounter resistance along the way. Stakeholders question the changes - after all, there are decades of experience in the workstreams that exist. As these changes are occurring in reducing barriers to access for patients and families, value-based care conversations are happening in parallel. These discussions are often led by population health or contracting teams - and typically focused on specific payer populations. What is missing is the connection between these two worlds. Because the reality is this: access is not separate from value-based care. It is foundational to it. In a recent discussion with experienced leaders, this disconnect came into sharp focus. On one side, access leaders are working to close care gaps, improve timeliness to specialty care, manage post-discharge follow-up, and help patients navigate to the most appropriate setting. On the other, payers are designing programs to achieve those exact same outcomes. Yet the work is rarely translated into a shared language. Dr. Stephanie Mills, founder of consulting firm atelierHealth and former Executive Vice President of Health Service and CMO of Louisiana Blue, joined the conversation to elucidate the payer's perspective. Value-based programs are built around measurable impact. Not activity, but outcomes. Improved preventive care rates. Reduced emergency department utilization. Lower hospital readmission rates. Better chronic disease management. These are the metrics that matter, reveals Dr. Mills. As access leaders know, these elements are directly influenced by access. The challenge is that most health systems are reacting to payer-designed programs, rather than proactively bringing attention to the value they are already creating. As Dr. Michael Kraft, Emory Healthcare's Vice President of Clinical Performance & Operational Excellence, explained, we are often "responding to the program" instead of shaping it. What would it look like to flip that dynamic? At Emory Healthcare, one example offers a glimpse into what is possible. Faced with low completion rates for annual wellness visits (AWVs) among Medicare patients, Dr. Kraft and his team did not start by adding more capacity. Instead, they redesigned access to those visits. Leveraging his former role as Associate Chief Health Information Officer (CHIO), Dr. Kraft advocated for pushing questionnaires directly to patients, simplifying documentation for clinicians, and leveraging the electronic health record to highlight only what required attention, thereby removing friction from the process. Within 12 months, completion rates of AWVs astoundingly increased from 30 percent to 84 percent. But the real story is what followed. Higher completion rates led to improved identification of care gaps, increased preventive screenings, and better performance across quality measures. In parallel, more accurate documentation improved diagnostic accuracy and reflected better management of chronic conditions. The result was not just better patient care, but significant financial return tied to value-based performance. Emory Healthcare's CMS Star Rating skyrocketed - and, as stakeholders saw results, this single initiative led to dozens more. This is the intersection we have been missing. Access is not just about getting patients in the door. It is about ensuring they receive the right care, at the right time, in the right place. When designed effectively, it becomes a mechanism for managing populations, not just schedules. And yet, many access leaders are not at the table when value-based strategies are defined. Part of the challenge is structural. Health systems are typically organized around contracting efforts that are aligned to specific payers, while access teams are responsible for all patients. Academic health systems, in particular, have limited a primary care footprint, making it more difficult to see where they fit into traditional value-based models, which are largely rooted in primary care. But this is exactly where the opportunity lies. Specialty care access, care coordination, and transitions of care in the low-cost ambulatory setting are increasingly central to value. Timely access to specialty services prevents unnecessary emergency department visits. Efficient post-discharge follow-up reduces hospital readmissions. Virtual care expands capacity without adding physical resources. These are not theoretical concepts. They are operational realities already being executed across health systems. The next step is to make that work visible and valued. That begins with connecting access efforts to outcomes. Not just what is being done, but what it produces. Natalie McCall, MSHCT, a principal with atelierHealth explores: Where are care gaps being closed? Where is high-cost utilization being avoided? Where is timeliness improving patient outcomes? Where is health being managed? From there, the work must be translated into the language of value. Financial impact matters. Whether through shared savings, care gap closure, condition management, care coordination, or avoided cost, the ability to quantify contribution changes the conversation. And finally, access leaders have an opportunity to be more proactive. Rather than waiting for payer-defined programs, there is a path for access leaders to bring forward a clear value proposition at the negotiation table. In its simplest form, that could be a concise articulation of how access initiatives improve outcomes, supported by data and aligned to payer priorities. This is not about changing the work itself. It is about reframing it. When positioned correctly, access becomes a lever for improving quality and safety, reducing cost - and delivering on the promise of value-based care. The work is already happening. The opportunity now is to ensure it is recognized, measured, and brought to the forefront of the conversation. Join the conversation: atelierHealth's Dr. Mills (linkedin.com/in/stephanie-mills-mdmhcm) and Ms. McCall join Dr. Kraft of Emory Healthcare as our guests for the Patient Access Collaborative's All-Access Pass to Access podcast.

West Centrals Best
Jul 18th, 2026
Louisiana Blue names Sabrina Hogan senior vice president, Government Programs.

Louisiana Blue names Sabrina Hogan senior vice president, Government Programs. * Louisiana Blue * 5 hrs ago BATON ROUGE, LA - Blue Cross and Blue Shield of Louisiana (Louisiana Blue) named industry veteran Sabrina Hogan senior vice president (SVP), Government Programs. Hogan has served on the company's Senior Management Team since 2019, most recently as SVP, Care Delivery and president of Louisiana Blue's wholly owned subsidiary, eleHealth. In her new role, Hogan will set and execute the strategic direction for the company's Medicare Advantage business and Healthy Blue joint venture (Medicaid), with full accountability for performance across growth, operations, financial results, regulatory compliance and vendor partnerships. "Since expanding our Medicare Advantage offerings statewide almost a decade ago, we have made meaningful progress growing our membership and we believe that growth will only accelerate," said Brian Keller, Louisiana Blue's chief growth officer. "However, sustainable success in this space requires more than growth alone. It requires a deeper understanding of the complex needs of our members so we can deliver the right care, services and experiences. Sabrina's leadership, guided by her passion and experience, will drive our success in government programs." Sabrina's healthcare career spans more than three decades, grounded in advanced nursing degrees and a focus on health systems management. She has held senior roles at St. Francis Medical Center and St. Francis Medical Group in Monroe. Her community service includes past board roles with the YMCA and Wellspring and current positions on the University of Louisiana at Monroe Foundation Board and the Louisiana Community and Technical Colleges Board of Supervisors, appointed by Louisiana Gov. Jeff Landry. "Throughout my career as a nurse, caregiver and healthcare leader, I have been passionate about caring for those who once cared for us. As more Louisianians become eligible for Medicare each year, we have a tremendous opportunity - and responsibility - to help them navigate the healthcare system and access the care, support and services they need to live their healthiest lives," said Hogan. "I am honored to lead Louisiana Blue's Government Programs division and work alongside colleagues across our organization to deliver exceptional member experiences, improve health outcomes and ensure we remain a trusted partner for Louisianians, no matter their stage of life."

Keep Louisiana Beautiful
May 27th, 2026
Louisiana Blue and Keep Louisiana Beautiful continue partnership for clean and healthy communities.

Louisiana Blue and Keep Louisiana Beautiful continue partnership for clean and healthy communities. Louisiana Blue partnered with Keep Louisiana Beautiful (KLB) for the fifth annual Love the Boot Week, held April 18-26, 2026, to highlight the connection between a clean environment and a healthy Louisiana. As one of the first and longest-running supporters of Love the Boot Week, Louisiana Blue recognizes that litter negatively impacts community health and quality of life. This year, Louisiana Blue supported four cleanup and beautification projects in regions where their offices are located. In addition to providing funding, Louisiana Blue encouraged employee participation, offering staff a hands-on opportunity to engage in meaningful, community-strengthening volunteer work. In the Monroe area, Keep Ouachita Parish Beautiful led an event to both clean up and beautify an area near downtown Monroe. Louisiana Blue team members volunteered alongside other community partners to pick up litter and refurbish gardens in front of the Parish Police Jury building. They planted flowers and installed a memorial sign dedicating the garden to the late director of Keep Ouachita Parish Beautiful, Lisa Richardson, who was a fierce advocate for her community. In the New Orleans area, Louisiana Blue supported lowernine.org, an organization working to restore and revitalize New Orleans' Lower 9th Ward. This collaborative event brought together volunteers from Louisiana Blue, Entergy, the Green Project, NORD, New Orleans City Department of Sanitation, The New Orleans Saints, and community members from across the Lower 9th Ward. Forty-five volunteers worked together clearing illegally dumped trash and debris from the streets, cleaning and beautifying Oliver Bush Park, and clearing overgrown corner lots. They removed an estimated 6,000 pounds of waste tires, and many of these were repurposed and painted to create colorful flower planters around the playground at Oliver Bush Park. In Shreveport, the Love the Earth Day Celebration at Shreveport Green's Urban Farm expanded its reach and impact by bringing together environmental organizations, educators, local farmers, artists, and community partners for a day of hands-on learning and environmental action. Through interactive activities, educational demonstrations, garden-to-table cooking experiences, and youth engagement opportunities, the event promoted sustainability and strengthened connections to local food systems and environmental stewardship. A highlight was the unveiling of a community-painted mural on a 5,000-gallon cistern, creating a lasting symbol of Louisiana's ecosystems and community pride. Support from Louisiana Blue, including volunteer participation and funding, helped make the mural and the event possible. Louisiana Blue also played a key role in KLB's kickoff event held in downtown Baton Rouge. The celebration included networking, a partner expo, speakers, and a litter cleanup. Louisiana Blue employees were returning volunteers for both the reception and the cleanup. Each year, a large group of Team Blue volunteers can be counted on to roll up their sleeves and make an impact in their community. Through their ongoing sponsorship and employee involvement, Louisiana Blue continues to demonstrate a strong commitment to community wellness and environmental stewardship. Their support helps amplify local efforts and reinforces the message that a clean Louisiana is a healthy Louisiana.

Medisys Inc.
Apr 13th, 2026
Blue Cross Blue Shield updates highlight financial pressure, policy shifts across southern states.

Blue Cross Blue Shield updates highlight financial pressure, policy shifts across southern states. Blue Cross Blue Shield (BCBS) plans continue to face financial strain and policy changes across multiple states, with several developments in the South reflecting ongoing cost pressures, reimbursement adjustments, and pharmacy initiatives. Financial and performance trends in southern states. BCBS plans in southern states show mixed financial results as medical and pharmacy costs rise: * Elevance Health (BCBS Georgia/Anthem) reported strong overall profitability but continues to face regulatory and compliance pressures in Medicare Advantage operations. * BCBS Texas has been involved in litigation related to alleged misuse of the independent dispute resolution (IDR) process. * BCBS Florida (Florida Blue) reported significant savings initiatives through specialty pharmacy programs, generating millions in monthly drug cost reductions. * BCBS Louisiana (Louisiana Blue) and BCBS Kansas City are both undergoing leadership transitions, with CEO retirements and succession planning underway. Leadership changes in southern markets. Several southern BCBS-affiliated plans are experiencing executive turnover: * Louisiana Blue CEO Bryan Camerlinck plans to retire at the end of 2026 * BCBS Kansas City CEO Erin Stucky will also retire by 2026, with a successor already named * BCBS Georgia and BCBS Indiana (both under Elevance) announced new regional leadership appointments Policy and legal developments affecting southern states. Southern BCBS plans are actively reshaping reimbursement and claims policies: * Florida Blue and BCBS Texas are engaged in disputes tied to out-of-network billing and IDR process concerns * Elevance Health is implementing network penalties across 13 states, including southern markets, for certain out-of-network utilization patterns * BCBS Texas is also involved in broader legislative and legal efforts targeting IDR reform Reimbursement and pharmacy initiatives. Policy changes are also impacting provider payments and pharmacy costs in the region: * Florida Blue is expanding specialty pharmacy programs aimed at lowering drug spending through competitive contracting * Southern BCBS-affiliated plans are participating in broader national trends toward stricter evaluation and management coding reviews and reimbursement adjustments Bottom line. Across southern states, BCBS plans are balancing financial pressure with aggressive cost-control strategies, leadership transitions, and increased scrutiny of reimbursement and pharmacy spending models - reflecting a broader national push toward tighter payment oversight and value-based reimbursement. Post navigation.

BIZ Magazine
Jun 5th, 2025
Points of Light Names Louisiana Blue No. 1 for Integrating Community Impact Into Business Operations

Louisiana Blue and its employees were recognized for the second year in a row as the best in the nation for integrating community service and support into business operations.