Remotery

Medicare Cost Reporting Auditor III

atBlueCross BlueShield of South CarolinaUS flagSouth CarolinaFull-timeAuditorMid-levelSenior$57.8k – $110.4k/year

Posted 1 day ago

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Performs timely audits, both internal and external, focusing on operational, financial, and compliance aspects across divisions, departments, providers, and corporate activities, including the assessment of internal controls.

• Recognizes, documents, and assesses business risks.

• Creates comprehensive audit programs in written form.

• Conducts evaluations and analyses of current controls to ascertain their adequacy and effectiveness.

• Produces written work papers that document the results of testing and the conclusions drawn.

• Formulates recommendations aimed at minimizing risks and enhancing processes, functions, and activities.

• Composes audit reports for corporate executive management that convey evaluations, conclusions, and recommendations in a clear and effective manner.

• Gathers and analyzes data to identify insufficient controls, redundant efforts, fraud, or non-compliance with laws, regulations, and management policies.

• Tests corrective actions as identified.

• Develops detailed reports for each audit conducted.

• Reports include a review of findings along with recommendations to address deficiencies and improve processes.

• Examines and assesses financial and information systems, suggesting controls to ensure reliability and data integrity.

• Conducts specialized audit studies for management, such as those aimed at establishing controls to prevent fraud.

• Prepares reports detailing findings and recommendations for management review.

• Provides training and supports or leads other auditors in completing their assignments to enhance overall audit efficiency.


⛳️ Requirements

• Bachelor's degree in a relevant field.

• Minimum of 5 years of auditing experience.

• Familiarity with auditing principles and practices.

• Capability to analyze financial data, draw conclusions, and provide appropriate recommendations.

• Proficiency in gathering information through record examination and interviewing individuals about those records.

• Strong interpersonal skills with the ability to work professionally at all organizational levels while maintaining effective relationships.

• Clear and effective communication skills, both oral and written.

• Capability to handle sensitive matters confidentially.

• Excellent analytical, critical thinking, and problem-solving skills.

• 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 at major locations.

• Education assistance.

• Service recognition.

• National discounts for movies, theaters, zoos, theme parks, and more.

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