Lead Auditor, Medicare Cost Report - BlueCross BlueShield of South Carolina : Job Details

Lead Auditor, Medicare Cost Report

BlueCross BlueShield of South Carolina

Job Location : all cities,SC, USA

Posted on : 2024-11-15T08:41:52Z

Job Description :
SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, 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 that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!DescriptionPosition Purpose:This position will be primarily doing Medicare Cost Reporting. Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects.Logistics: This position is full time and can be W@H with a possibility of occasional trips in house on an as needed basis.What You'll Do:
  • Independently and objectively helps plan and execute audits in accordance with professional auditing standards. Perform or support audits focused primarily on operational controls, asset safeguarding, and compliance with procedures, laws, and regulations. Functions as in-charge auditor of the most complex audit reviews and/or cost reports. May conduct reviews of account reconciliations performed by various financial areas.
  • Identify and analyze related key processes, systems, and controls to determine effectiveness. Communicate audit status and results to management, with emphasis on discussing deficiencies and recommending corrective actions. Prepare formal written work papers and reports, documenting audit work performed and expressing conclusion.
  • Assess desk reviews performed by subordinate auditors to ensure that quality audit work is performed, and on-the-job training is provided as necessary. Assist in ensuring that all assigned audits are completed and reviewed in accordance with Generally Accepted Accounting Principles, Generally Accepted Auditing Standards and Government Auditing Standards. Coordinate the completion of these assignments in a manner which results in timely completion of all assignments in accordance with budget performance requirements as well as departmental interim goals.
  • Direct the day-to-day efforts of assigned audit staff by reviewing and planning assignments, training, and providing leadership and guidance. Assist in the development and revision of work instructions, forms, and procedures.
  • Broaden and maintains working knowledge of applicable laws, regulations, and procedures through self-study programs, on-the-job training, attending seminars and network association's formal training programs. Communicates with internal and external areas as necessary to ensure efficient completion of assigned tasks.
To Qualify for This Position, You'll Need:Required Education:
  • Bachelor's degree in a job-related field.
Required Work Experience:
  • 7 years auditing or accounting experience with 1-year leading audits.
Required Skills and Abilities:
  • 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.
  • Knowledge of cost accounting standards and General Accepted Accounting Principles.
  • Knowledge and use of auditing standards and statistical sampling techniques. Good planning and organization skills.
Required Software and Tools:
  • Microsoft Office.
What We Prefer You Have:
  • Experience doing Medicare Cost Reporting or Similar Auditing within a government space.
  • Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA)
What We can Do for You:We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
  • 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
  • Wellness program and healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition
  • Employee Assistance
  • Discounts to movies, theaters, zoos, theme parks and more
What to Expect Next:After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application.Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Here's more information. Equal Employment Opportunity StatementBlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-###-####, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
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