Government Audit Supervisor

BlueCross BlueShield of South Carolina; New Hampshire (OH); Remote; USD 65,000 - 131,000; Full time

Job summary

Join a forward-thinking company that has been a pillar in the insurance industry for over seventy years. This role offers an exciting opportunity to supervise the Medicare cost report process, ensuring compliance with CMS requirements. You'll lead a dedicated team, providing training and support while maintaining the highest auditing standards. With a commitment to diversity and inclusion, this organization fosters an environment where your skills can flourish. Enjoy a comprehensive benefits package that includes health plans, retirement savings, and more. If you're passionate about making a difference in healthcare, this is the perfect opportunity for you.

Benefits

Subsidized health plans

401k retirement savings plan

Life Insurance

Paid Time Off (PTO)

On-site cafeterias

Education Assistance

Service Recognition

National discounts

Qualifications

• 5 years auditing or accounting experience including 1 year in a leadership role.
• Knowledge of auditing standards and cost accounting principles.

Responsibilities

• Supervise audit work papers to ensure compliance with CMS standards.
• Plan and monitor work assignments for the audit team.

Skills

Knowledge of cost accounting standards

Auditing standards

Statistical sampling techniques

Planning and organization

Interpersonal skills

Critical thinking

Communication skills

Ability to analyze financial data

Education

Bachelor’s degree in a job related field

Tools

Microsoft Office

HFS – Health Financial Systems

HIGLAS – CMS Ledger system

STAR – System for Tracking Audit and Reimbursement

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 supervising the receipt, review, and settlement of the Medicare cost report, ensuring all Centers for Medicare and Medicaid Services (CMS) requirements are met throughout the process.

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 ONSITE at our Birmingham, AL location or REMOTE in the U.S. You will work an 8-hour shift scheduled during our business hours of 8:00AM-5:00PM.

What You’ll Do:

• Performs supervisory review of all audit work papers completed by the team to ensure all work conforms to CMS and other government auditing standards.
• Performs supervisory review of all cost report acceptances and desk reviews to ensure timeliness requirements are met and all CMS standards are adhered to.
• Plans, monitors, and budgets all work assigned for the team, and evaluates and reports results.
• Performs supervisory review of all settlement packages ensuring product meets all CMS standards.
• Assists in developing the audit staff by providing on-the-job training as well as preparing and presenting formal staff training sessions.
• Researches issues and responds to provider and CMS requests in a timely manner.

To Qualify for This Position, You'll Need the Following:

• Required Education: Bachelor’s degree in a job related field
• Required Work Experience: 5 years auditing or accounting experience including 1 year in a leadership role or equivalent military experience in grade E4 or above.
• Required Software and tools: Microsoft Office
• Required Skills and Abilities:
• Knowledge of cost accounting standards and Generally Accepted Accounting Principles.
• Knowledge and use of auditing standards and statistical sampling techniques.
• Good planning, organization, and human relations skills.
• Knowledge of the principles and practices of auditing.
• Ability to analyze and determine the applicability of financial data.
• Ability to gather information by examining records and documents and to interview individuals.
• Strong interpersonal skills.
• Ability to work professionally with persons at all levels.
• 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.
• Ability to make presentations and apply critical thinking skills.
• Knowledge of provider reimbursement review board.
• Ability to interpret and implement changes to Medicare program.
• Thorough understanding of Uniform Contractor Evaluation Program guidelines.
• Ability to adapt to changing environment. Strong planning skills with the ability to make sound decisions.

We Prefer That You Have the Following:

• 3 years Medicare audit experience
• 12 hours accounting credits
• HFS – Health Financial Systems, HIGLAS – CMS Ledger system, STAR – System for Tracking Audit and Reimbursement experience.
• 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:

• 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.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications.

Pay Range Information:

Range Minimum: $65,485.00

Range Midpoint: $98,081.00

Range Maximum: $130,677.00

Pay Transparency Statement:

Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity.

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 Statement

BlueCross 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 [e-mail] or call 1-800-288-2227, 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.