Auditor II, Medicare Cost Report

BlueCross BlueShield of South Carolina
North Carolina
Full-time

Description

What You’ll Do :

Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls.

Identifies, documents, and evaluates business risks.

Documents issues, the causes of those issues, and their effects on the process / function and the corporation.

Drafts recommendations to limit risks and improve processes, functions and activities.

Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations.

Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies.

Conducts testing of corrective actions as identified.

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.

Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity.

Conducts special audit studies for management, such as those required to discover controls for prevention of fraud.

Prepares reports of findings and recommendations for management.

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

Work environment is the typical office environment onsite. Travel between office buildings may be required. Out of town travel may be required.

To Qualify for This Position, You’ll Need :

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

Three(3) years auditing experience. (Please see We Prefer That You 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.

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.

Microsoft Office.

We Prefer That You Have :

Three (3) years Medicare Cost Report Auditing

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

What Blue Can Do For You

Our comprehensive benefits package includes :

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.

30+ days ago
Related jobs
BlueCross BlueShield of South Carolina
North Carolina

Three (3) years Medicare Cost Report Auditing. Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA). Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and r...

Elevance Health
UNIVERSITY PKWY,SALEM,WINSTON,NC

The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement. Audit & Reimbursement Senior- Medicare Cost Report Audit. Perform supervisory review of workload involving complex areas of Medicare part A reimbursement su...

BlueCross BlueShield of South Carolina
North Carolina

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. Certified Internal Auditor (CIA), Certified Public Acc...

Elevance Health
UNIVERSITY PKWY,SALEM,WINSTON,NC

This individual will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement. Perform supervisory review of workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, ...

BlueCross BlueShield of South Carolina
North Carolina

Functions as in-charge auditor of the most complex audit reviews and/or cost reports. 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 an...

Elevance Health
UNIVERSITY PKWY,SALEM,WINSTON,NC

Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement. Perform complex Medicare cost report audits, serving as an in-charge auditor assisting other auditors assigned to the audit. Audit & ...

Promoted
Spencer Ogden
Camp Lejeune, North Carolina

The Project Manager position is responsible for the management, or the assistance of managing, all phases of project planning to ensure all project success factors are met, including but not limited to scope, schedule, cost, quality, environmental, safety, communications, security, and integration. ...

Promoted
Honeywell
Charlotte, North Carolina

Integrated Supply Chain (ISC) Internal Auditor. In addition to those main functions, the ISC auditors also play a large role in the Operational audits with respect to the internal controls of the ISC portions of the 5 main business cycles. In addition to those main functions, the ISC auditors also p...

Promoted
Brightspeed
Charlotte, North Carolina

We are currently looking for a Staff Accountant, Cash & Consolidations Accounting to join our growing Finance team!. As Staff Accountant, Cash & Consolidations Accounting, you will support the implementation of processes, policies, and procedures ensuring the accuracy of the consolidated financial s...

Promoted
RXO
Charlotte, North Carolina

As a Senior, Compliance and Operational Auditor at RXO, you will be responsible for collecting, synthesizing, analyzing, monitoring and disseminating data related to operational practices and processes in adherence with standard operating principles. ...