Auditor I - Palmetto GBA

Summary

Responsible for completing Medicaid desk reviews/audits to ensure settlement data is accurate for proper reimbursement by Department of Health and Human Services, West Virginia Medicaid Division. Responsible for assisting in the execution of financial audits including evaluation of providers other expenses included in the Medicare Cost Report. Assist in the completion of Medicaid audits where various departments are reviewed for compliance using policies, and procedures prescribed by CMS. Review assigned portions of the Medicaid audit, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits. Responsible for assisting in the completion of Inpatient Rehab Facility (IRF) compliance reviews and additional audit tasks as they arise.

Description

Logistics:

This position is full-time (40-hours/week) Monday-Friday. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It maybe necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role can be located in Columbia, SC or Birmingham, AL. Highly qualified remote candidates will also be considered.

What You'll Do:

• Conducted audits of the financial, management, and administrative procedures of assigned divisions, providers, departments, and various lines of businesses throughout the organization to ensure that procedures are in compliance. Audits include interviewing key personnel, conducting testing, evaluating internal controls, analyzing existing financial and management practices to determine effectiveness, and reviewing relevant documentation to support findings.

• Develop 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. Conducts testing of corrective actions as identified.

• Conduct special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of finding and recommendations for management.

• Assist other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.

To Qualify for This Position, You'll need:

• Bachelor's degree - Accounting , Finance, Business Administration, or other job related field of study. (this role requires a minimum of 12 credit hours in Accounting, please upload a copy of your transcript when you apply)

You will also be required to have:

• 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 and the ability to work professionally with persons at all levels.

• Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis.

• Proficient with Microsoft Office.

What we prefer:

• Medicare Cost Reporting experience.

• Previous Auditing experience.

What We can Do for You:

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

• Wellness program and healthy lifestyle premium discount

• Tuition assistance

• Service recognition

• Employee Assistance

• Discounts to movies, theaters, zoos, theme parks and more

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application.

Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.

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

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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 minorities, females, disabled individuals and 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 physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com 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.