Lead Auditor, Medicare Cost Report

BlueCross BlueShield of South Carolina
Idaho
Full-time

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
  • 30+ days ago
Related jobs
BlueCross BlueShield of South Carolina
Idaho

Functions as in-charge auditor of the most complex audit reviews and/or cost reports. Seven years (Medicare) auditing or accounting experience with one-year leading audits. Prepares formal written work papers and reports, documenting audit work performed and expressing conclusion. Assesses desk revi...

BlueCross BlueShield of South Carolina
Idaho

Resolves cost report reopening requests made by the provider, reviewing documentation submitted to determine accuracy of the request and proposing applicable adjustments to the cost report. Five years of Medicare cost report auditing experience. Provides training to and assists or leads other audito...

Wilbur-Ellis
ID, US
Remote

Business Analyst Requirements Gathering Project Management Project Scope Scope of Work SOW BRD Agile Business Analyst Requirements Gathering Project Management Project Scope Scope of Work SOW BRD Agile Business Analyst Requirements Gathering Project Management Project Scope Scope of Work SOW BRD Agi...

Cambia Health Solutions
Idaho
Remote

As a member of the Compliance team, the Compliance Analyst II/III is responsible to deliver an effective compliance program. Demonstrated mastery of at least 6 core compliance functions, including the core competencies and ability to deftly perform all compliance functions relating to assigned compl...

CVS Health
Idaho, Work At Home, US
Remote

Applies basic knowledge of compliance, business, analytical, and communication skills to support compliance programs and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect, and mitigate compliance risks. ...

ALTERYX
Idaho, USA, Remote
Remote

Financial Analyst (Technology Business Partner). As a Senior FP&A Analyst, you will play a pivotal role in our Finance team, acting as a strategic business partner to the Chief Product Officer (CPO), Chief Information Officer (CIO), and Chief Information Security Officer (CISO). We’re looking for pr...

Paro.ai
ID, US
Remote

Interact with clients to clarify audit objectives, request additional information, and discuss audit findings in a clear and professional manner. Effective communication skills, both written and verbal, to provide clear and concise feedback to audit teams, as well as communicate with clients regardi...

Promoted
Element Heating and Cooling
Twin Falls, Idaho

We have two Locations - Twin Falls, ID and Burley, ID.Monday - Friday, 7:00 am to 5:00 pm .K with up to a 4% employer match.Medical, dental, vision and life insurance –100% paid for by the employer.Paid holidays, vacation, and birthdays.Company-issued uniforms, Paid Schooling.HVAC Residential ...

Promoted
Element Heating and Cooling
Jerome, Idaho

Monday - Friday, 7:00 AM to 5:00 PM.K with up to a 4% employer match.Medical, dental, vision and life insurance –100% paid for by the employer.Paid holidays, vacation, and birthdays.Company-issued uniforms, Paid Schooling.HVAC Apprentice Installer Position Summary:.The HVAC Apprentice Installe...

Promoted
Cleanup & Total Restoration
Twin Falls, Idaho

Cleanup & Total Restoration is hiring a Drywaller as full-time position in Twin Falls, Idaho.Ability to hang , tape, coat and texture drywall independently .Ability to match existing textures .Availability for on call duties .Ability and willingness to learn and apply various other skills relati...