Medicare Cost Reporting Auditor II

🕒 July 2

🌺 Hawaii, South Carolina, +2 more states – Remote

🌺 Hawaii – Remote 🌴 South Carolina – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote

💵 $49.4k - $94.7k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

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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

• Conduct timely operational, compliance, and financial audits of divisions, departments, providers, and corporate activities • Evaluate internal controls and identify, document, and assess business risks • Document issues, causes, effects, and impacts on processes, functions, and the corporation • Draft recommendations to limit risks and improve processes, functions, and activities • Write audit reports for corporate executive management conveying evaluations, conclusions, and recommendations • Collect and analyze data to detect deficient controls, duplicated effort, fraud, and non-compliance • Test corrective actions • Develop detailed reports for each audit, including findings and recommendations for correcting deficiencies and improving processes • Examine and evaluate financial and information systems and recommend controls for system reliability and data integrity • Conduct special audit studies for management, including fraud-prevention control studies • Prepare reports of findings and recommendations for management • Assist other auditors with assignments to maximize audit efficiency and reduce lost time and corporate personnel involvement

🎯 Requirements

• Bachelor's degree in a job-related field • Degree equivalency: 4 years of job-related work experience, or an associate's degree and 2 years of job-related work experience • 2 years of auditing experience • Knowledge of auditing principles and practices • Ability to analyze and determine the applicability of financial data • Ability to draw conclusions and make recommendations from analyzed data • Ability to gather information by examining records and documents and interviewing individuals • Strong interpersonal skills • Ability to maintain effective working relationships • Clear and effective oral and written communication • Ability to handle sensitive matters confidentially • Proficiency with Microsoft Office • Preferred: Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), or Certified Fraud Examiner (CFE)

🏖️ 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 • Reasonable accommodations for individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs • Pay range of $49,447.00–$94,737.00, dependent on experience, geographic location, and internal equity