Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Auditor II (Medicare Cost Reporting)

$49.45k - $94.74k
Full-time

Palmetto GBA


Summary
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Position Purpose:
Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources.


Description

Logistics: Palmetto GBA – one of BlueCross BlueShield's South Carolina subsidiary companies.

Location: This position is full-time (40-hours/week) Monday-Friday working Remote in the U.S., or onsite at our 17 Technology Circle, Columbia, SC location. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM. It may be necessary, given the business need to work occasional overtime.

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.

To Qualify for This Position, You'll Need the Following:

  • Required Education: Bachelor’s degree in a job related field

  • Required Work Experience: 3 years auditing experience.

  • Required Software and tools: Microsoft Office

  • Required Skills and Abilities:

    • 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.

We Prefer That You Have the Following:

  • 3 years Medicare cost report audit experience

  • 12 hours accounting and/or finance credits

  • Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA)

Our comprehensive benefits package includes the following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

  • 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

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

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 are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications.

Pay Range Information:

Range Minimum
$49,447.00

Range Midpoint
$72,092.00

Range Maximum
$94,737.00

Pay Transparency Statement:

Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email View email address on aiapply.co or call View phone number on aiapply.co with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information .

Some states have required notifications. Here's more information .

Vacancy posted 9 days ago
Similar jobs that could be interesting for youBased on the Auditor II (Medicare Cost Reporting) in Delaware State vacancy
  • $49.45k - $94.74k

     ...functions and activities. Writes audit reports for corporate executive management that...  ...for management. Assists other auditors in completing their assignments as a means...  ...Prefer That You Have the Following: 3 years Medicare cost report audit experience 12 hours... 
    Suggested
    Full time
    For contractors
    Work experience placement
    Work at office
    Local area
    Remote work
    Monday to Friday
    Shift work

    BlueCross BlueShield of South Carolina

    Delaware State
    9 days ago
  •  ...on-the-job training to work by performing protocol, raw data, and report audits for compliance with regulatory requirement (GLP, GCP &...  ...Bioanalysis, Translational Medicine, Early Phase Clinical and Phase II - IV Clinical Research services. To meet the needs of our clients... 
    Suggested
    Permanent employment
    Temporary work
    For contractors
    H1b
    Work at office
    Local area
    Worldwide
    Visa sponsorship

    QPS Holdings

    Newark, DE
    5 days ago
  • $71.1k - $97.8k

     ...community The Inpatient Medical Coding Auditor extracts clinical information from a...  ...Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...  ...a better quality of life for people with Medicare and Medicaid, families, individuals, military... 
    Suggested
    Bi-weekly pay
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana

    Dover, DE
    1 day ago
  • $16 per hour

    As an Auditor at BWT Logistics, you will play a vital role in enhancing operational efficiency...  ...for all team members. Analysis & Reporting Document audit findings in clear, concise...  ...recommendations to mitigate risks, reduce costs, and improve performance. Monitor the implementation... 
    Suggested
    Hourly pay
    Monday to Friday
    Afternoon shift

    Best Warehousing & Transportation Inc.

    New Castle, DE
    3 days ago
  • $101.97k - $203.94k

     ...As the Manager, Corporate IT Audit , you will lead our SOC Reporting team and oversee SOC 1 and SOC 2 audits . You'll manage audits...  ...closely with business teams, control owners, and external auditors Communicate audit results, risks, and recommendations clearly... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Local area

    CVS Health

    Delaware State
    8 days ago
  •  ...and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation... 
    Work at office

    InstantServe

    Dover, DE
    1 day ago
  •  ...The Inventory Auditor is responsible for advanced inventory reconciliation, performs advanced inventory audits, conducts root cause investigations...  ...client-specific compliance requirements Prepare audit reports with findings and corrective action recommendations Assist... 
    Work at office
    Flexible hours
    Afternoon shift

    Advantage Media Services

    Bear, DE
    4 days ago
  • $18 per hour

     ...Overview The District Auditor position is responsible for counting all physical inventories, generating department audit reports, reconciling computer data with the physical counts taken and reporting on errors found. The position also works with each department to... 
    Hourly pay
    Work at office
    Night shift

    GPM Investments

    Dover, DE
    4 days ago
  •  ...Join Davies Risk Services as a Premium Auditor - No Experience Required! Are you a self-starter who thrives on independence, loves...  ...with policyholders Reviewing payroll, sales journals, cost records, etc. Verifying class codes based on business operations... 
    For contractors

    Davies Public Affairs

    Dover, DE
    1 day ago
  • $18 per hour

     ...District AuditorThe District Auditor position is responsible for counting all physical inventories, generating department audit reports, reconciling computer data with the physical counts taken and reporting on errors found. The position also works with each department... 
    Hourly pay
    Work at office
    Night shift

    GPM Investments

    Dover, DE
    5 days ago
  • $79.7k - $105.48k

     ...guidance and trainings on policies. Job Summary The Compliance Auditor is responsible for conducting coding, documentation audits to...  ..., and recommend corrective actions. Prepare audit reports and communicate findings to leadership, providers, coders, and... 
    Full time
    Temporary work
    Local area
    Immediate start
    Remote work
    Flexible hours

    Cardinal Health

    Dover, DE
    4 days ago
  • $70k - $75k

     ...Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor PRIMARY PURPOSE : The Attorney Auditor is responsible for...  ...but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting... 
    Full time
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Delaware State
    14 days ago
  •  ...growth for our clients and the communities we serve. The Senior Auditor role is responsible for conducting financial, operational,...  ...audit results, conducts entrance and exit meetings, drafts audit reports, and resolves outstanding issues. Determines purpose,... 
    Work at office

    Bancorp Bank, The

    Wilmington, DE
    2 days ago
  • QPS, LLC in Newark, Delaware is seeking an Auditor I - Laboratory to perform audits of clinical and nonclinical study records, ensuring...  ...compliance with GLP, GCP, GMP, and SOP requirements. The role reports to QA leadership and involves in-situ lab inspections, quality... 

    QPS Holdings, LLC

    Newark, DE
    4 days ago
  • QPS, LLC in Newark, Delaware is seeking an Auditor I - Laboratory to audit scientific data from clinical and nonclinical studies, ensuring raw data and reports meet the protocol, SOPs, validated method, and study plan requirements. The role involves inspecting lab work... 

    Qps-Holdings,-LL

    Newark, DE
    4 days ago
  • BWT Logistics is seeking an Auditor to enhance operational efficiency and ensure policy compliance across warehouse and transportation...  ...processes, inventory controls, and adherence to SOPs, delivering clear reports and recommendations. The role focuses on operational, inventory... 
    Monday to Friday
    Shift work

    Best Warehousing & Transportation Inc.

    New Castle, DE
    2 days ago
  • $82k

     ...Senior Internal Auditor Req. # 27022 Job Family FI - Finance Location US-MA-Milford | US-DE-New Castle...  ...this role will be dedicated to Internal Control over Financial Reporting (ICFR/SOX 404) activities, with the remaining time supporting operational... 
    Local area
    Worldwide

    Waters

    New Castle, DE
    4 days ago
  • $55.28k - $84.58k

    AAA Club Alliance is hiring for an IT Staff Auditor to join our team! The IT Staff Auditor performs risk-based internal audit activities...  ...Identifies potential control gaps and process inefficiencies. Reporting & Communication: Synthesizes audit evidence to develop initial... 
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Work from home

    AAA Club Alliance

    Wilmington, DE
    2 days ago
  •  ...Vehicle Lawson Home Services is hiring a Residential Energy Auditor / Home Performance Inspector to perform home energy audits for...  ...for the Energize Delaware program Produce clear written reports and recommendations Maintain organized tools, equipment, and... 
    Full time
    Work at office

    Lawson Home Services, LLC

    Milton, DE
    26 days ago
  • $16 - $23 per hour

     ...NOW HIRING! 100+ JOBS OPEN | WALK-INS WELCOME Position: Inventory Auditor Location: New Castle, DE Pay: $16-$23/hour Hours: Monday - Friday | 8:30 AM - 5:00 PM What You'll Do Perform scheduled and unscheduled inventory audits and cycle counts... 
    Immediate start
    Monday to Friday

    ACCU Staffing Services

    New Castle, DE
    5 days ago
  • Outlier is seeking detail-oriented English speakers to review AI-generated media. You will roleplay live conversations with an AI voice model, compare images and videos, and explain what looked or sounded off, all remotely and on your own schedule. At Outlier, your work...
    Remote job
    Weekly pay
    Flexible hours

    Outlier

    Wilmington, DE
    2 days ago
  • This is Sushil Singh from 360 IT Professionals Inc. We are based in Fremont, California that offers complete technology services in IT staffing, Mobile development, Web development and Cloud computing . 360 IT Professionals work along with its clients to deliver high-performance...

    360 IT Professionals

    Wilmington, DE
    2 days ago
  • A leading technology services company in Wilmington is seeking candidates for a role focused on auditing documentation for tax compliance. The responsibilities include performing detailed audits, gathering information through interviews, and ensuring quality of work. Strong...

    360 IT Professionals

    Wilmington, DE
    2 days ago
  • $13.25 per hour

    Multiple positions for Auditor(GAAP Exp) $13.25/hr Contract 360 IT Professionals is a Software Development Company based in Fremont, California that offers complete technology services in Mobile development, Web development, Cloud computing and IT staffing. Merging Information... 
    Contract work

    360 IT Professionals

    Wilmington, DE
    3 days ago
  • AAA Club Alliance is looking for an IT Staff Auditor to perform risk-based internal audit activities across technology, cybersecurity, data, and integrated processes. The role emphasizes professional judgement, documentation, and collaboration with the audit team to deliver... 

    AAA Club Alliance

    Wilmington, DE
    2 days ago
  •  ...documentation of operating effectiveness, directing audit staff, audit report drafting, follow-up and verification of issue closure, and...  ...groups such as Risk Management and Compliance, external auditors, and regulators while maintaining audit independence. Monitor... 
    Visa sponsorship

    JPMorgan Chase & Co.

    Wilmington, DE
    more than 2 months ago
  •  ...and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation... 

    Lancesoft INC

    Dover, DE
    more than 2 months ago
  • $108.9k - $166.13k

     ...staff), audit program development, execution, documentation, and reporting. Prepares audit risk assessments and execute, monitor, and...  ...Corporate Audit Standards Manual and the Institute of Internal Auditors (IIA) Standards for the Professional Practice of Internal Auditing... 
    Full time
    Temporary work
    For contractors
    Work experience placement
    Remote work

    Mazda Motor Corporation

    Delaware State
    11 days ago
  •  ...Planning & management of audits & compilations Perform risk assessments Supervision & review of staff/ interns Prepare audit reports Draft financial statements Qualifications : ~ CPA Eligible ~ Bachelor's in Accounting ~4+ Years of Experience in... 

    gpac

    Bellefonte, DE
    2 days ago
  • $77.26k - $128.94k

     ...partners Proficiency with Microsoft Office (Excel, PowerPoint, Outlook) including calendar management, roster tracking, and basic reporting/analytics Familiarity with instructional design practices (e.g., organizing content, creating job aids, supporting facilitator guides... 
    Work at office
    Work from home
    Flexible hours

    TD

    Wilmington, DE
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Auditor II (Medicare Cost Reporting). Be the first to apply!