Remote Medicare Cost Reporting Auditor II

MaineGuide; Northern (KY); Hybrid; USD 49,000 - 95,000; Full time

Benefits offered by this job

Health plans

401k plan

Life Insurance

PTO

On-site facilities

Education Assistance

Service Recognition

Discount programs

Job summary

BlueCross BlueShield of South Carolina is seeking a full-time auditor to deliver internal, financial, and compliance audits across the organization from a remote location, Monday through Friday.

The role involves evaluating controls, identifying risks, drafting actionable recommendations, and reporting findings to management. Requires 2+ years of auditing experience, a related bachelor’s degree, and strong MS Office proficiency.

Qualifications

• Knowledge of the principles and practices of auditing.
• Ability to analyze and determine the applicability of financial data.
• Ability to draw conclusions and make appropriate recommendations for analyzed data.
• Ability to gather information by examining records and documents and interviewing individuals.
• Strong interpersonal skills.
• 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.

Responsibilities

• Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls.
• Identifies, documents, and evaluates business risks. Documents issues, the causes of those issues, and their effects on the process/function and the corporation.
• 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.
• Examines and evaluates 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.
• Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.

Skills

Auditing principles

Financial data analysis

Information gathering

Interviews

Communication

Interpersonal skills

Confidential handling

Education

Bachelor's degree in a related field

Degree equivalency: 4 years related work experience or Associate's with 2 years

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is seeking a full-time auditor to deliver internal, financial, and compliance audits across the organization from a remote location, Monday through Friday.

The role involves evaluating controls, identifying risks, drafting actionable recommendations, and reporting findings to management. Requires 2+ years of auditing experience, a related bachelor’s degree, and strong MS Office proficiency.