Medicare Cost Reporting Auditor III

ourhrconnect

Columbia (SC)

Remote

USD 58,000 - 110,000

Full time

14 days+

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Benefits offered by this job

Subsidized health plans

Dental coverage

Vision coverage

401k with company match

Life Insurance

Paid Time Off

On-site cafeterias

Education Assistance

Service Recognition

Employee discounts

Job summary

BlueCross BlueShield of South Carolina is seeking a Lead Auditor for a full-time remote role, operating Monday through Friday 8:00am to 5:00pm. You will execute internal and external audits, assess controls, and produce detailed reports with actionable recommendations to strengthen financial integrity and regulatory compliance.

Required: Bachelor's degree in a related field and at least 5 years of auditing experience; CIA/CPA/CISA certifications preferred.

Qualifications

Bachelor's degree in a related field required.
At least 5 years of auditing experience.
Ability to analyze financial data and draw recommendations.
Strong communication and interpersonal skills.
Ability to handle confidential information.

Responsibilities

Conduct internal and external audits across divisions and activities.
Evaluate internal controls and document testing results.
Lead auditors on complex assignments and prepare work papers.
Draft clear reports with findings and recommendations.
Develop audit programs and test corrective actions.

Skills

Auditing basics

Financial analysis

Information gathering

Interpersonal skills

Communication

Confidentiality

Analytical thinking

Education

Bachelor's degree in related field

Tools

Microsoft Office

Job description

Summary

This is a full-time remote position working Monday through Friday 8:00am to 5:00pm.

Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and evaluates business risks. Develops written audit programs. Conducts testing and analysis of existing controls to determine adequacy and effectiveness. Prepares written work papers to document testing results and conclusions reached. Documents issues, the causes of those issues, and their effects on the process/function and the corporation. Serves as Lead Auditor on more complex audit assignments.
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. Examine and evaluate 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.
Provides training to and assists or leads other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.
Strives to expand knowledge of applicable laws, regulations, program instructions, and technology through self-study, corporate offerings, and formal training programs.

Required Education: Bachelor's in a job related field.

Required Experience: 5 years auditing experience.

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.
Excellent analytical or critical thinking and problem-solving capabilities.

Required Software and Tools: Microsoft Office.

Preferred Education: Bachelor's degree- any major

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

Work Environment: Typical office environment. Travel between office buildings and out of town may be required.

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.

SalaryRange:

Range Minimum

$57,790.00

Range Midpoint

$84,089.00

Range Maximum

110,388.00

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 disabilitiesand 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 mycareer.help@bcbssc.com 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‑basis.

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

Equal Employment Opportunity Statement

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

Equal Employment Opportunity Statement

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

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