Medicare Cost Reporting Auditor II
BlueCross BlueShield of South Carolina
full-time
Posted on:
Location Type: Remote
Location: Alabama • Hawaii • United States
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Salary
💰 $51,107 - $97,729 per year
About the role
- 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
Requirements
- Bachelor's in a job related field
- 4 years job related work experience or Associate's and 2 years job related work experience
- 2 years auditing experience
- 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
- Proficiency in Microsoft Office
- Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) or Certified Fraud Examiner (CFE)
Benefits
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Applicant Tracking System Keywords
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Hard Skills & Tools
auditingfinancial analysisrisk evaluationdata analysisinternal controlsfraud detectionreport writingprocess improvementsystem reliabilitydata integrity
Soft Skills
interpersonal skillscommunication skillsconfidentialityanalytical thinkingrecommendation developmentrelationship managementinformation gatheringteam collaborationproblem-solvingattention to detail
Certifications
Certified Internal Auditor (CIA)Certified Public Accountant (CPA)Certified Information Systems Auditor (CISA)Certified Fraud Examiner (CFE)