BlueCross BlueShield of South Carolina · 1 day ago
Part-Time Lead Medicare Cost Reporting Auditor
BlueCross BlueShield of South Carolina is seeking a Part-Time Lead Medicare Cost Reporting Auditor. The role involves coordinating and completing audit reviews, mentoring department staff, and assisting the department manager with workflow direction for various risk management activities and special projects.
Financial ServicesHealth CareHealth InsuranceInsuranceMedical
Responsibilities
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
Qualification
Required
Bachelor's in a job related field
7 years auditing or accounting experience with one year leading audits
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
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
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.
Funding
Current Stage
Late StageLeadership Team
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