Lead Auditor, Medicare Cost Report

Summary

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.

Description

Logistics:

This position is full-time (40-hours/week) Monday-Friday working a flexible eight-hour schedule between the hours of 7:00am

• 6:30pm remote within the United States.

What You'll Do:

• 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.

• 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.

• Work environment: Typical office environment. Out of town travel may be required. (Remote Position)

To Qualify for This Position, You'll Need:

• Bachelor's Degree

• Accounting or Finance (must have 12 semester hours of accounting and/or Finance).

• Seven years (Medicare) auditing or accounting experience with one-year leading audits.

• 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.

• Knowledge of Microsoft Office.

We Prefer That You Have:

• Experience training new or inexperienced auditors.

• Certified Internal Audit (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA).

• Advanced Excel experience and knowledge.

• Proficient in Adobe.

• HFS (Health Financial Systems) experience.

What Blue Can Do For You:

• 401(k) retirement savings plan with company match

• Subsidized health plans and free vision coverage

• Life insurance

• Paid annual leave - the longer you work here, the more you earn

• Nine paid holidays

• On-site cafeterias and fitness centers in major locations

• Wellness programs and a healthy lifestyle premium discount

• Tuition assistance

• Service recognition

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.

Management will be conducting interviews with those candidates who qualify, with prioritization given 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.

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

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.