BlueCross BlueShield of South Carolina

Medicare Cost Reporting Auditor III

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

Qualifications

  • Bachelor's degree in a job-related field required, with a preference for any major.
  • 5 years of auditing experience required.
  • Knowledge of auditing principles and practices.
  • Strong analytical and critical thinking skills.
  • Excellent oral and written communication abilities.

Responsibilities

  • Conduct a full range of operational, financial, and compliance audits.
  • Evaluate internal controls and document business risks.
  • Draft audit reports and recommendations for improvement.
  • Prepare detailed reports on audit findings and proposed corrective actions.
  • Conduct special audit studies to prevent fraud and other risks.
  • Provide training and lead other auditors to maximize efficiency.
  • Stay updated on laws, regulations, and relevant technologies.

Benefits

  • Opportunities for professional development and training.
  • Potential for career advancement within the organization.
  • Supportive work environment with experienced colleagues.
  • Exposure to a variety of auditing assignments and challenges.
  • Flexible work arrangements including possible remote work.
Full Job Description

Summary

Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources.
Description

This is a full-time remote position working Monday through Friday 8:00am to 5:00pm.

  • Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and evaluates business risks. Develops written audit programs. Conducts testing and analysis of existing controls to determine adequacy and effectiveness. Prepares written work papers to document testing results and conclusions reached. Documents issues, the causes of those issues, and their effects on the process/function and the corporation. Serves as Lead Auditor on more complex audit assignments.
  • Drafts recommendations to limit risks and improve processes, functions and activities. Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions and recommendations. Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies. Conducts testing of corrective actions as identified.
  • Develops detailed reports on each audit conducted. Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Examine and evaluate financial and information systems, recommending controls to ensure system reliability and data integrity.
  • Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of findings and recommendations for management.
  • Provides training to and assists or leads other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.
  • Strives to expand knowledge of applicable laws, regulations, program instructions, and technology through self-study, corporate offerings, and formal training programs.


Required Education: Bachelor's in a job related field.

Required Experience: 5 years auditing experience.

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.
  • Excellent analytical or critical thinking and problem-solving capabilities.


Required Software and Tools: Microsoft Office.

Preferred Education: Bachelor's degree- any major

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

Work Environment: Typical office environment. Travel between office buildings and out of town 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.

SalaryRange:

Range Minimum

$57,790.00

Range Midpoint

$84,089.00

Range Maximum

110,388.00

Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity.

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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