Lead Medicare Cost Reporting Auditor

🔥 14 hours ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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BlueCross BlueShield of South Carolina

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

BlueCross BlueShield of South Carolina is a leading health insurance provider that offers a variety of health plans, including individual and family plans, Medicare options, and group health plans. The organization focuses on providing coverage and resources for members, employers, and healthcare providers, ensuring access to quality healthcare services. With a commitment to promoting healthier lifestyles and supporting community health, BlueCross BlueShield of South Carolina plays a vital role in the healthcare landscape of the region.

📋 Description

• Coordinate and complete audit reviews • Review audit work papers and reports completed by department staff • Distribute reports to management • Coordinate auditors' assignments • Mentor and coach department staff • Assist the department manager with workflow direction for risk management activities and special projects • Plan and execute audits in accordance with professional auditing standards • Perform or support audits focused on operational controls, asset safeguarding, and compliance • Serve as in-charge auditor for complex audit reviews and/or cost reports • Review account reconciliations performed by financial areas • Analyze key processes, systems, and controls to determine effectiveness • Communicate audit status and results to management, discuss deficiencies, and recommend corrective actions • Prepare formal written work papers and reports documenting audit work and conclusions • Assess subordinate auditors' desk reviews and provide on-the-job training • Ensure audits comply with GAAP, GAAS, and Government Auditing Standards • Coordinate assignments for timely completion within budget and departmental goals • Direct day-to-day efforts of assigned audit staff through planning, training, leadership, and guidance • Assist with developing and revising work instructions, forms, and procedures • Maintain knowledge of applicable laws, regulations, and procedures through self-study, on-the-job training, seminars, and formal training programs • Communicate with internal and external areas to ensure efficient task completion

🎯 Requirements

• 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, draw conclusions, and make appropriate recommendations • Ability to gather information by examining records and documents and interview individuals concerning those records • Strong interpersonal skills and ability to work professionally with persons at all levels and maintain effective working relationships • Ability to communicate clearly and effectively in oral and written form • Ability to handle sensitive matters confidentially • Knowledge of cost accounting standards and Generally Accepted Accounting Principles • Knowledge and use of auditing standards and statistical sampling techniques • Good planning and organization skills • Microsoft Office proficiency • Preferred: Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or 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