Lead Medicare Auditor

BlueCross BlueShield of South Carolina; United States; Remote; USD 57,000 - 111,000; Full time

Job summary

A leading insurance company is seeking a full-time Auditor to join their team remotely. This role involves coordinating audits, reviewing compliance with regulations, and mentoring staff. Ideal candidates should have a Bachelor's degree and seven years of auditing experience. A diverse and inclusive workplace that values employee input and development.

Benefits

Subsidized health plans, dental and vision coverage

401k retirement savings plan with company match

Life Insurance

Paid Time Off (PTO)

Education Assistance

Service Recognition

Qualifications

• 7 years auditing or accounting experience with one year leading audits.
• Ability to analyze financial data and draw conclusions.
• Knowledge of cost accounting standards.

Responsibilities

• Coordinate and complete audit reviews and distribute reports.
• Plan and execute audits in accordance with professional auditing standards.
• Direct the day-to-day efforts of assigned audit staff.

Skills

Knowledge of auditing principles

Interpersonal skills

Analytical skills

Communication

Planning and organization

Education

Bachelor's in a job related field

Tools

Microsoft Office

Job description

Direct message the job poster from BlueCross BlueShield of South Carolina

This position is full-time remote (40-hours/week) Monday-Friday. You will work an 8-hour shift scheduled during our normal business hours 8:00am-5:00pm. It may be necessary, given the business needs to work occasional overtime.

• 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.
• 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 in a job related field
• Required Work Experience: 7 years auditing or accounting experience with one year leading audits.

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.

Required Software and Tools: Microsoft Office.

Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA)

Preferred Skills:

• Thorough understanding of conducting and reviewing Medicare audits. Prior experience working as an Auditor in for a Medicare Administrative Contractor (MAC).
• Completing cost report reopening for Medicare providers in alignment with applicable instructions and regulations.
• Cost report reopening reviews of various provider types and issues related to bad debts, disproportionate share, and other issues specific to the Medicare cost report.
• Track progress of multiple workload assignments through completion to ensure timeliness and quality expectations are met.

Work Environment: Typical office environment. Employee may work form one's/out of one's home. May involve some travel within one's community.

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.

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.

Pay Range Information:

Range Minimum

$57,790.00

$84,089.00

Range Maximum

$110,388.00

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.

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 individuals with disabilities and protected 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 disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email [e-mail] or call 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.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

Some states have required notifications. Here's more information.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing

• Industries

  Insurance

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