Medicare Cost Reporting Auditor II

🔥 8 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

💵 $51.1k - $97.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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BlueCross BlueShield of South Carolina

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Insurance • Finance

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

• Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation • 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 • Reviews findings and identifies recommendations to correct deficiencies and methods for process improvements • Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity • Conducts special audit studies for management to discover controls for fraud prevention • Prepares reports of findings and recommendations for management

🎯 Requirements

• 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 proficiency • Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) preferred license

🏖️ 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