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BlueCross BlueShield of South Carolina · 1 day ago

Medicare Cost Reporting Auditor II

United States

Full-time

Remote

Mid Level

3+ years exp

BlueCross BlueShield of South Carolina is responsible for providing a full range of financial, compliance, and operational audits. The Medicare Cost Reporting Auditor will conduct audits, draft recommendations, and develop detailed reports to improve processes and ensure compliance within the organization.

Financial ServicesHealth CareHealth InsuranceInsuranceMedical

Responsibilities

Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls

Identifies, documents, and evaluates business risks

Documents issues, the causes of those issues, and their effects on the process/function and the corporation

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

Examines and evaluates 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

Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel

Qualification

Auditing principlesFinancial data analysisInternal controls evaluationMicrosoft OfficeCIACPACISAInterpersonal skillsEffective communicationConfidentiality handling

Required

Bachelor's in a job related field

3 years auditing experience

Knowledge of the principles and practices of auditing

Ability to analyze and determine the applicability of financial data

Ability to draw conclusions and make appropriate recommendations for analyzed data

Ability to gather information by examining records and documents and interviewing individuals

Strong interpersonal skills

Ability 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

Microsoft Office

Preferred

Certified Internal Auditor (CIA)

Certified Public Accountant (CPA)

Certified Information Systems Auditor (CISA)

Benefits

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

Company

BlueCross BlueShield of South Carolina

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For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.

Founded in 1946

Columbia, South Carolina, USA

10001+ employees