Government Audit Manager

BlueCross BlueShield of South Carolina

Government Audit Manager leading healthcare operational and financial audits for BlueCross BlueShield’s government-contract operations. Supervising audit teams, ensuring CMS compliance, and resolving provider and external-reviewer findings.

Posted 8/13/2026full-timeBirmingham • Alabama, South Carolina, Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in operational audits within the healthcare industry, with a strong focus on compliance, quality assurance, and effective communication with stakeholders. Proficient in applying accounting principles and managing audit teams to meet regulatory standards and organizational goals.

Highest-signal resume keywords

Operational AuditsHealthcare Industry ExperienceSupervisory Audit ExperienceAccounting PrinciplesMedicare Cost Report Audit Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Audit Quality AssuranceFinancial Systems ProficiencyPerformance EvaluationDecision-MakingAttention to Detail

Soft Skills

Interpersonal SkillsLeadership SkillsOrganizational SkillsEffective CommunicationHuman Relations Skills

Tools & Technologies

Microsoft Office

Industry Keywords

CMS RegulationsISO CertificationHealthcare ComplianceAudit StandardsOperational Management

About the role

Key responsibilities & impact

Organize the audit block into productive units or teams and direct team activities to meet department, corporate, and CMS expectations
Manage audit work to ensure appropriate production flow within required timeliness standards
Report results regularly to management
Respond to provider questions and resolve disputed audit items
Prepare staff instructions on Medicare regulations and company policies
Assist with QMS instructions and programs and continued ISO certification
Communicate with CMS and government or external law enforcement agencies
Evaluate staffing, interview and hire staff, complete performance evaluations, oversee promotions, and shift staff as needed
Review and inspect work products to ensure audit quality and compliance with department, company, and CMS requirements
Respond to audit inquiries and findings from external reviewers
Perform special projects and expand working knowledge and technical skills

Requirements

What you’ll need

Bachelor's degree in Accounting, Finance, Business Administration, or another job-related field
5 years of experience in operational/functional audits within the healthcare industry
2 years of supervisory audit experience or equivalent military experience in grade E4 or above
Strong interpersonal, presentation, interviewing, organizational, planning, leadership, and human relations skills
Ability to work professionally with persons at all levels and maintain effective working relationships
Clear and effective oral and written communication
Strong attention to detail and sound decision-making ability
Knowledge of and proficiency in applying accounting principles and auditing standards
Knowledge of and proficiency in healthcare operational and financial systems
Ability to understand complex systems, analyze details, and determine impact to the corporation
Understanding of management principles
Experience with Microsoft Office
Preferred: Medicare Cost Report audit experience

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
Wellness program and healthy lifestyle premium discount
Tuition assistance
Service recognition
Employee Assistance
Discounts to movies, theaters, zoos, theme parks and more
Benefits eligibility beginning the first of the month following 28 days of employment