Medicare Cost Reporting Auditor II

BlueCross BlueShield of South Carolina

Medicare Cost Reporting Auditor II responsible for financial compliance investigations in a remote capacity. Conducting audits and evaluations of business risks within the corporation.

Posted 7/7/2026full-timeRemote • South Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $51,107 - $97,729 per yearWebsite

About the role

Key responsibilities & impact

Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation
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
Reviews findings and identifies recommendations to correct deficiencies and methods for process improvements
Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity
Conducts special audit studies for management to discover controls for fraud prevention
Prepares reports of findings and recommendations for management

Requirements

What you’ll need

Bachelor's in a job related field
3 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
Microsoft Office proficiency
Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) preferred license

Benefits

Comp & perks

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
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Auditing PrinciplesFinancial Data AnalysisProcess ImprovementFraud Prevention ControlsCorrective Action Testing

Soft Skills

Interpersonal SkillsEffective CommunicationConfidentiality ManagementRelationship Building

Certifications

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