BlueCross BlueShield of South Carolina

Lead Medicare Cost Reporting Auditor

US-AnywhereRemote in Columbia, SC
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a related field.
  • 7 years of auditing or accounting experience.
  • 1 year of audit leadership experience.
  • Strong knowledge of auditing principles and practices.
  • Excellent communication and interpersonal skills.

Responsibilities

  • Coordinate and complete audit reviews and assignments.
  • Prepare formal work papers and reports documenting findings.
  • Mentor and coach audit department staff for skill development.
  • Communicate audit results and recommendations to management.
  • Assess and ensure quality of work performed by subordinate auditors.

Benefits

  • Subsidized health plans, dental, and vision coverage.
  • 401k retirement savings plan with company match.
  • Life Insurance coverage.
  • Paid Time Off (PTO) available.
  • Access to on-site cafeterias and fitness centers.
  • Education Assistance for professional development.
  • Service Recognition for years of service.
  • National discounts for various recreational activities.
Full Job Description
Summary
Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects.
Description

This is a full-time remote opportunity working Monday-Friday .

Independently and objectively helps plan and execute audits in accordance with professional auditing standards. Performs or supports audits focused primarily on operational controls, asset safeguarding, and compliance with procedures, laws, and regulations. Functions as in-charge auditor of the most complex audit reviews and/or cost reports. May conduct reviews of account reconciliations performed by various financial areas.

Identifies and analyzes related key processes, systems, and controls to determine effectiveness. Communicates audit status and results to management, with emphasis on discussing deficiencies and recommending corrective actions. Prepares formal written work papers and reports, documenting audit work performed and expressing conclusion.

Assesses desk reviews performed by subordinate auditors to ensure that quality audit work is performed and on-the-job training is provided as necessary. Assists in ensuring that all assigned audits are completed and reviewed in accordance with Generally Accepted Accounting Principles, Generally Accepted Auditing Standards and, Government Auditing Standards. Coordinates the completion of these assignments in a manner which results in timely completion of all assignments in accordance with budget performance requirements as well as departmental interim goals.

Directs the day-to-day efforts of assigned audit staff by reviewing and planning assignments, training, and providing leadership and guidance. Assists in the development and revision of work instructions, forms, and procedures.

Broadens and maintains working knowledge of applicable laws, regulations, and procedures through self-study programs, on-the-job training, attending seminars and network association's formal training programs. Communicates with internal and external areas as necessary to ensure efficient completion of assigned tasks.

Required Education: Bachelor's in a job related field

Required Work Experience: 7 years auditing or accounting experience with one year leading audits.

Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations. Ability to gather information by examining records and documents and to interview individuals concerning those records. Strong interpersonal skills and the ability to work professionally with persons at all levels, and to maintain effective working relationships. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Knowledge of cost accounting standards and General Accepted Accounting Principles. Knowledge and use of auditing standards and statistical sampling techniques. Good planning and organization skills.

Required Software and Tools: Microsoft Office.

Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA)

Work Environment: Typical office environment. Some travel between office buildings. Out of town travel may be required.

Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment:
  • Subsidized health plans, dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • On-site cafeterias and fitness centers in major locations
  • Education Assistance
  • Service Recognition
  • National discounts to movies, theaters, zoos, theme parks and more


What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina is a health insurance company that provides coverage to over 5 million people in South Carolina and beyond. The company was founded in 1946 and is headquartered in Columbia, South Carolina. BlueCross BlueShield of South Carolina offers a variety of health insurance plans, including individual and family plans, Medicare plans, and employer-sponsored plans. The company is committed to improving the health of its members and the communities it serves, with initiatives focused on wellness, disease prevention, and access to care. BlueCross BlueShield of South Carolina is a subsidiary of the Blue Cross Blue Shield Association, a national federation of 36 independent, community-based and locally operated Blue Cross Blue Shield companies.
Learn more about BlueCross BlueShield of South Carolina
Size
12,000 employees
Industry

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