Note: The job is a remote job and is open to candidates in USA. BlueCross BlueShield of South Carolina is seeking a Medicare Cost Reporting Auditor II to provide a full range of financial, compliance, and operational audits. The role involves conducting audits, drafting recommendations, and preparing detailed reports to improve processes and ensure compliance.

Responsibilities

• 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

Skills

• 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
• Microsoft Office
• Certified Internal Auditor (CIA)
• Certified Public Accountant (CPA)
• Certified Information Systems Auditor (CISA)
• Certified Fraud Examiner (CFE)

Benefits

• 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

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