Note: The job is a remote job and is open to candidates in USA. BlueCross BlueShield of South Carolina is seeking a Medicare Cost Reporting Auditor III to provide a full range of financial, compliance, and operational audits. The role involves conducting audits, drafting recommendations, and developing detailed reports to enhance processes and ensure compliance.
Responsibilities
- 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
Skills
- Bachelor's in a job related field
- 5 years auditing experience
- 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
- Microsoft Office
- Bachelor's degree- any major
- Certified Internal Auditor (CIA)
- Certified Public Accountant (CPA)
- Certified Information Systems Auditor (CISA)
Benefits
- 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
Company Overview