Medicare Audit Supervisor

Summary

Responsible for supervising the receipt, review, and settlement of the Medicare cost report, ensuring all Centers for Medicare and Medicaid Services (CMS) requirements are met throughout the process.

Description

Summary

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Logistics:

This is a full-time position (40-hours/week) Monday-Friday working remote or on-site in Birmingham, AL or Columbia SC.

What You'll Do:

• Performs supervisory review of all audit work papers completed by the team to ensure all work conforms to CMS and other government auditing standards.

• Performs supervisory review of all cost report acceptances and desk reviews to ensure timeliness requirements are met and all CMS standards are adhered to.

• Plans, monitors, and budgets all work assigned for the team, and evaluates and reports results.

• Performs supervisory review of all settlement packages ensuring product meets all CMS standards.

• Assists in developing the audit staff by providing on-the-job training as well as preparing and presenting formal staff training sessions.

• Researches issues and responds to provider and CMS requests in a timely manner.

To Qualify for This Position, You'll Need:

• Bachelor's in a job related field

• 5 years auditing or accounting experience including 1 year in a leadership role or equivalent military experience in grade E4 or above.

• Knowledge of cost accounting standards and Generally Accepted Accounting Principles.

• Knowledge and use of auditing standards and statistical sampling techniques.

• Good planning, organization, and human relations skills.

• Knowledge of the principles and practices of auditing.

• Ability to analyze and determine the applicability of financial data.

• Ability to gather information by examining records and documents and to interview individuals.

• Strong interpersonal skills.

• Ability to work professionally with persons at all levels.

• 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.

• Ability to make presentations and apply critical thinking skills.

• Knowledge of provider reimbursement review board.

• Ability to interpret and implement changes to Medicare program.

• Thorough understanding of Uniform Contractor Evaluation Program guidelines.

• Ability to adapt to changing environment.

• Strong planning skills with the ability to makes sound decisions.

• Experience working with Microsoft Office.

What we Prefer you to have:

• Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or Certified Management Accountant (CMA)

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.

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.