Lead Auditor, Medicare Cost Report

BlueCross BlueShield of South Carolina; Alabama; Remote; USD 75,000 - 100,000; Full time

Job summary

A leading company in the healthcare sector seeks a Senior Auditor to join their remote team. This full-time role involves leading audits, ensuring compliance with standards, and providing valuable insights to management. Candidates should have extensive experience in audit practices and a strong educational background in accounting or finance, with opportunities for professional development and competitive benefits.

Benefits

401(k) retirement savings plan with company match

Subsidized health plans and free vision coverage

Life insurance

Paid annual leave

Nine paid holidays

On-site cafeterias and fitness centers

Wellness programs and premium discounts

Qualifications

• 7 years of Medicare auditing experience.
• Knowledge of auditing principles and practices.
• Ability to handle sensitive matters confidentially.

Responsibilities

• Plan and execute audits according to standards.
• Communicate audit results and recommendations.
• Direct and support the audit team effectively.

Skills

Analytical skills

Interpersonal skills

Communication

Planning and organization

Education

Bachelor’s Degree in Accounting or Finance

Tools

Microsoft Office

Job description

This position is full-time (40-hours / week) Monday-Friday working a flexible eight-hour schedule between the hours of 7 : 00am - 6 : 30pm remote within the United States.

What You’ll Do :

• Independently and objectively helps plan and execute audits in accordance with professional auditing standards.
• Performs or supports 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.
• Identifies and analyzes related key processes, systems, and controls to determine effectiveness.
• Communicates audit status and results to management, with emphasis on discussing deficiencies and recommending corrective actions.
• Prepares formal written work papers and reports, documenting audit work performed and expressing conclusion.
• Assesses desk reviews performed by subordinate auditors to ensure that quality audit work is performed and on-the-job training is provided as necessary.
• Assists 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.
• Directs the day-to-day efforts of assigned audit staff by reviewing and planning assignments, training, and providing leadership and guidance.
• Assists in the development and revision of work instructions, forms, and procedures.
• Broadens 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.
• Work environment : Typical office environment. Out of town travel may be required. (Remote Position)

To Qualify for This Position, You’ll Need :

• Bachelor’s Degree – Accounting or Finance (must have 12 semester hours of accounting and / or Finance).
• Seven years (Medicare) auditing or accounting experience with one-year leading audits.
• 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.
• Knowledge of Microsoft Office.

We Prefer That You Have :

• Experience training new or inexperienced auditors.
• Certified Internal Audit (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA).
• Advanced Excel experience and knowledge.

What Blue Can Do For You :

• 401(k) retirement savings plan with company match
• Subsidized health plans and free vision coverage
• Life insurance
• Paid annual leave — the longer you work here, the more you earn
• Nine paid holidays
• On-site cafeterias and fitness centers in major locations
• Wellness programs and a healthy lifestyle premium discount