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Auditor II Medicare Cost Reporting

BlueCross BlueShield of South Carolina

Remote · USFull-timeSeen 3 days agoSeen in employer's feed 3 days ago

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At a glance

Compensation
No compensation found
Location
Remote · US
Schedule
Full-time
Work Authorization
Not specified

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Requirements

Credentials this posting asks for.

Bachelor's degree

Job overview

BlueCross BlueShield of South Carolina is hiring an Auditor II Medicare Cost Reporting for Palmetto GBA. The role conducts financial, compliance, and operational audits, evaluates internal controls and business risks, and prepares findings and recommendations for management. The position is full-time, 40 hours per week, and may be performed remotely in the U.S. or onsite in Columbia, South Carolina. Medicare cost report audit experience is preferred.

Skills & qualifications

RequiredNice to have

Skills

AuditingMicrosoft OfficeFinancial Data AnalysisData InterpretationInformation GatheringInterpersonal SkillsRelationship ManagementOral CommunicationWritten CommunicationConfidentialityMedicare Cost Report Auditing

Qualifications

Bachelor's in Job-Related Field3 Years Auditing Experience

Full job description

Internal Reference Number: R1052780 Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources.Description Logistics: Palmetto GBA - one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This position is full-time (40-hours/week) Monday-Friday working Remote in the U.S., or onsite at our 17 Technology Circle, Columbia, SC location. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime. What You'll Do: Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. 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. 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. Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. To Qualify for This Position, You'll Need the Following: Required Education: Bachelor's degree in a job related field Required Work Experience: 3 years auditing experience. Required Software and tools: Microsoft Office Required Skills and Abilities: 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. We Prefer That You Have the Following: 3 years Medicare cost report audit experience 12 h

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