Medicare Cost Reporting Auditor III

🔥 5 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

💵 $57.8k - $110.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls • Identifies, documents, and evaluates business risks • Develops written audit programs • Conducts testing and analysis of existing controls to determine adequacy and effectiveness • Prepares written work papers to document testing results and conclusions reached • 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 • Provides training to and assists or leads other auditors in completing their assignments as a means of maximizing audit efficiency

🎯 Requirements

• Bachelor's in a job related field • 5 years auditing experience • 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 • Excellent analytical or critical thinking and problem-solving capabilities. • Proficiency in Microsoft Office

🏖️ 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