Medicare Cost Report Auditor 1

Bluecross Blueshield Of South Carolina Birmingham , AL 35202

Posted 2 months ago


Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits.


  • 75% Conducts 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.
  • 10% 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. Conducts testing of corrective actions as identified.
  • 10% Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of finding and recommendations for management.
  • 5% Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.

Required Education:

  • Bachelor's degree - Accounting , Finance, Business Administration, or other job related field of study.

Required Work Experience:

  • None

Required Skills and Abilities:

  • 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.

Required Software :

  • Microsoft Office.

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

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 or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

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Medicare Cost Report Auditor 1

Bluecross Blueshield Of South Carolina