Medicare Cost Reporting Auditor II

Summary

BlueCross BlueShield of South Carolina provides financial, compliance, operational audit, business advisory, investigation, and internal control services. The Medicare Cost Reporting Auditor II conducts operational, compliance, and financial audits, evaluates risks and controls, analyzes data, prepares audit reports and recommendations, and supports other auditors.

Responsibilities

• 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

Skills

• Bachelor's in a job related field
• 4 years job related work experience or Associate's and 2 years job related work experience
• 2 years auditing experience
• 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
• Microsoft Office
• Travel between office buildings may be required
• Out of town travel may be required
• Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) or Certified Fraud Examiner (CFE)

Qualifications

Must Haves

• Bachelor's in a job related field
• 4 years job related work experience or Associate's and 2 years job related work experience
• 2 years auditing experience
• 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
• Microsoft Office
• Travel between office buildings may be required
• Out of town travel may be required

Nice to Haves

• Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) or Certified Fraud Examiner (CFE)

Benefits

• Subsidized health plans, dental and vision coverage; eligible to participate at the first of the month following 28 days of employment
• 401k retirement savings plan with company match; eligible to participate at the first of the month following 28 days of employment
• Life Insurance; eligible to participate at the first of the month following 28 days of employment
• 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
• Full time remote position