Auditor II (Medicare Cost Reporting)

ourhrconnect; South Carolina; Hybrid; USD 85,000 - 120,000; Full time

Benefits offered by this job

401k retirement plan

Life Insurance

PTO

Education Assistance

On-site cafeterias

National discounts

Job summary

BlueCross BlueShield of South Carolina's Palmetto GBA unit seeks an experienced auditor to perform comprehensive financial, compliance, and operational audits across the organization. You will assess internal controls, identify risks, and draft actionable recommendations to strengthen processes.

The role is full-time (40 hours/week) with options for remote work in the U.S. or onsite at Columbia, SC. Occasional overtime may be required to meet audit deadlines.

Qualifications

• Bachelor's degree in a related field.
• 3 years auditing experience.
• Proficient in Microsoft Office.
• Knowledge of the principles and practices of auditing.
• Ability to analyze financial data and draw conclusions.
• Strong interpersonal and communication skills.
• Ability to handle confidential information.

Responsibilities

• Conduct internal and external audits of divisions and activities.
• Identify and document business risks.
• Document issues, causes and effects on processes and corporation.
• Draft recommendations to improve controls and reduce risks.
• Write audit reports for senior management with clear evaluations.
• Collect and analyze data to detect deficiencies and non-compliance.
• Test corrective actions and develop detailed audit reports.
• Assist other auditors to maximize efficiency and reduce downtime.
• Examine financial and information systems to ensure data integrity.
• Conduct special audit studies to prevent fraud.
• Prepare reports of findings and recommendations for management.
• Support auditors to improve efficiency across teams.

Skills

Auditing principles

Financial data analysis

Analytical recommendations

Evidence gathering

Interpersonal skills

Relationship building

Clear communication

Confidential handling

Education

Bachelor's degree in a related field

Tools

Microsoft Office

Job description

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 hours accounting and/or finance credits
• Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA)

Our comprehensive benefits package includes the following

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
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.