Lead Auditor (Medicare) - Palmetto GBA

BlueCross BlueShield of South Carolina; United States; Remote; USD 60,000 - 122,000; Full time

Job summary

An established industry player is seeking a dedicated auditor to join their team. In this pivotal role, you'll be responsible for coordinating and completing audit reviews, mentoring staff, and ensuring compliance with auditing standards. This position offers the flexibility of remote work or the option to work at their Birmingham location. With a commitment to outstanding service and community involvement, this company provides a supportive environment for professional growth. If you're passionate about auditing and looking to make a significant impact, this opportunity is for you.

Benefits

Subsidized Health Plans

Dental Coverage

Vision Coverage

401k Retirement Savings Plan

Life Insurance

Paid Time Off (PTO)

On-site Cafeterias

Fitness Centers

Education Assistance

National Discounts

Qualifications

• 7 years of auditing or accounting experience with 1 year leading audits.
• Knowledge of auditing standards and statistical sampling techniques.

Responsibilities

• Plan and execute audits in accordance with professional auditing standards.
• Prepare formal written work papers and reports documenting audit work.
• Mentor and coach department staff while managing audit workflow.

Skills

Auditing Principles

Financial Data Analysis

Interpersonal Skills

Communication Skills

Confidentiality Handling

Cost Accounting Standards

Planning and Organization

Education

Bachelor's Degree in a Job Related Field

Tools

Microsoft Office

Excel

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

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.
• Coordinates 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.
• 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.

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

• Required Education: Bachelor’s degree in a job related field
• Required Work Experience: 7 years auditing or accounting experience with one year leading audits.
• 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, 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.

We Prefer That You Have the Following:

• Medicare audit experience is highly preferred
• Strong Excel skills
• Health Financial Systems 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: $60,455.00
Range Midpoint: $90,815.50
Range Maximum: $121,176.00

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. 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.