Auditor II (Medicare Cost Reporting)
$49.45k - $94.74kBlueCross BlueShield of South Carolina
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 .
$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...SuggestedFull timeFor contractorsWork experience placementWork at officeLocal areaRemote workMonday to FridayShift work$94.98k - $153.79k
...Audit Job Description: The Audit Manager II provides specialized expertise to help... ...experience. ~ Strong understanding of financial reporting processes and regulatory requirements.... ...audit engagements or mentoring junior auditors. Strong project management and...SuggestedFull timeWork at officeLocal areaWork from homeFlexible hours$67k - $76k
...Your Mission: As our next Medical Coding Auditor , you will be responsible for reviewing... ...In this role, you will deliver audit reports, provide provider education, and support... ...Experience with reimbursement and billing across Medicare Part B, Medicaid, and other third-party...SuggestedFull timeRemote work$51k - $82k
...We are looking to add a Medicaid Auditor/Investigator to our SGS team of talented... ...part of a team, provides ongoing progress reports and updates on audit status; Presents... ...operating principles. ~ Understanding of Medicare/Medicaid or healthcare auditing. ~...SuggestedContract workTemporary workWork at officeRemote workShift work$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...SuggestedFull timeTemporary workLocal areaImmediate startRemote workFlexible hours- ...corporations around the world. Job Title: Aerospace Source Inspector/Auditor (Part-time) Scope: Perform Third-Party Source Inspections... ...resolving corrective action requests. Prepares audit reports reflecting quality performance and corrective action by...Contract workPart time
$208k
...methodology was implemented appropriately and that results can be reproduced. Code review: Compare Python code to methodology report to identify if there are any discrepancies between the code and the methodology. Output review: Review output in an Excel...Hourly payTemporary workLocal areaRemote workWorldwide$21.5 per hour
...others? Do you have experience with developing estimates, working with subcontractors, and completing paperwork and reports? The Energy Auditor position at Community Concepts might be a great fit for you! This position works with clients to help improve the quality...Full timeTemporary workWork experience placementFor subcontractor- ...certification. You will act as the bridge between the brand and stores, ensuring product presentation, brand visibility, and accurate reporting through the ThirdChannel App. Certifications unlock ongoing opportunities and supplemental income. #J-18808-Ljbffr ThirdChannelExtra incomeFreelanceImmediate start
$92.48k - $160.29k
...As a Senior Underwriting Consultant - Internal Auditor, you will be part of the US Life Underwriting Risk Management and Audit team,... ...technology and leveraging digital tools to improve efficiency and reporting. When you join our team: We’ll empower you to learn and...Full timeTemporary workLocal areaRemote workFlexible hours$20 per hour
Vendor Compliance Auditor Wells, ME 5pm til Finish Schedule determined at time of hire Pay is $20 per hour Job Summary This role is... ...using multiple angles if necessary Validate information prior to reporting violations #J-18808-Ljbffr Capstone Logistics, LLCHourly pay$27.2 per hour
...and working with a team of dedicated professionals? The Energy Auditor Manager position at Community Concepts is looking for you!... ...sites, energy programs, assist the team in tracking materials, job costs, and development of project specifications and the bidding process...Full timeTemporary workNight shiftWeekend workAfternoon shift- ...Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle disputes on the Disputes Team. The role emphasizes accuracy, timeliness, and compliance in CPT/HCPCS coding decisions. The position is remote with occasional travel to Humana offices...Remote work
$35.92 - $55.13 per hour
...include the planning, preparation, delivery, reporting and evaluation of engagement activities... ...and/or external parties (e.g., external auditors, regulatory agencies, etc.). In carrying... ...most out of available resources and uses cost-benefit thinking in decision-making and in...Full timeWork experience placementWork at officeFlexible hours$100k
...loss control prevention industry since 1945 is seeking a Premium Auditor to grow our team. Premium Auditors examine the financial... ...discrepancies and ensure compliance Prepare and submit audit reports Job Requirements: ~ Associate’s degree or equivalent experience...Hourly payWeekly payLocal areaWork from homeFlexible hours$66.12k - $89.48k
...Regulatory Billing Auditor (100% Remote) The Regulatory Billing Auditor supports compliant charging billing and documentation practices... ...of audit activities. The Auditor analyzes findings prepares reports and executive summaries and collaborates with leaders and staff...Full timePart timeImmediate startRemote workFlexible hours- Moxy & Residence Inn Portland Thompson's Point is seeking a friendly Night Auditor for overnight balancing of hotel transactions, guest inquiries, and ensuring a pristine front desk area in Portland, ME. This role supports seamless check-in/out, daily close processes, and...Night shift
- The Press Hotel in Portland, ME is hiring for an Overnight Guest Services role focused on front desk accounting and guest relations. You will post room charges, process vouchers, balance daily accounts, and support night audit operations with professionalism and courtesy...Work at officeNight shiftWeekend work
$75k - $95k
...Job Description Job Description We are seeking a senior auditor to join our South Portland Maine office. The individual should be able to work independently and also lead small groups, solve problems and provide solutions, possess strong communication skills and leadership...Work at officeRemote workFlexible hoursNight shift$77.26k - $128.94k
...May execute the development of Audit Planning Memorandum (APM), Process Risk and Control Matrix (pRCM), Findings Grid and Audit Report May complete L1 reviews/sign off on all audit activities (i.e. walkthroughs, test scripts, test results, grid, evidence uploads)...Full timeWork at officeLocal areaRemote workWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Auditor II (Medicare Cost Reporting). Be the first to apply!




