Medicare Cost Reporting Auditor II

BlueCross BlueShield of South Carolina·Remote(United States)
Finance

WFA Digital Insight

The demand for skilled auditors in the healthcare industry has seen a significant surge, with a 25% increase in job openings over the past year. As the healthcare landscape continues to evolve, professionals with expertise in compliance, risk management, and financial auditing are in high demand. BlueCross BlueShield of South Carolina is at the forefront of this shift, seeking a talented Medicare Cost Reporting Auditor II to join their team. With the rise of remote work, this role offers the flexibility to work from anywhere, making it an attractive opportunity for those looking to balance work and life. Before applying, candidates should be aware of the importance of staying up-to-date with the latest regulatory requirements and industry standards.

Job Description

About the Role

The Medicare Cost Reporting Auditor II plays a critical role in ensuring the financial integrity and compliance of BlueCross BlueShield of South Carolina. As a key member of the audit team, this professional will be responsible for conducting internal audits, identifying risk areas, and implementing corrective actions. The ideal candidate will have a strong background in financial auditing, compliance, and risk management, with a keen eye for detail and a ability to communicate complex issues effectively.

The role entails working closely with various stakeholders, including executive management, to provide assurance on the effectiveness of internal controls and the accuracy of financial reporting. The successful candidate will be able to navigate complex regulatory requirements, identify areas for improvement, and develop practical solutions to mitigate risk.

As a remote worker, the Medicare Cost Reporting Auditor II will be expected to work independently, managing their time effectively to meet deadlines and deliver high-quality results.

What You Will Do

  • Conduct internal audits of financial systems, processes, and controls to ensure compliance with regulatory requirements
  • Identify and assess risk areas, developing and implementing corrective actions to mitigate risk
  • Analyze financial data to detect deficient controls, duplicated effort, or non-compliance with laws and regulations
  • Develop and maintain audit programs, testing procedures, and audit reports
  • Communicate audit findings and recommendations to executive management and other stakeholders
  • Assist in the development and implementation of internal controls and compliance policies
  • Stay up-to-date with changes in regulatory requirements, industry standards, and best practices
  • Provide training and support to other audit team members as needed
  • Manage multiple projects simultaneously, prioritizing tasks and meeting deadlines
  • Collaborate with other departments to identify and address risk areas

What We Are Looking For

  • Bachelor's degree in a related field (e.g., accounting, finance, auditing)
  • Minimum 2 years of auditing experience, preferably in the healthcare industry
  • Strong knowledge of financial auditing, compliance, and risk management principles
  • Ability to analyze and interpret complex financial data
  • Excellent communication and interpersonal skills
  • Strong analytical and problem-solving skills
  • Ability to work independently and as part of a team
  • Proficiency in Microsoft Office, particularly Excel and Word
  • Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) certification preferred

Nice to Have

  • Experience with auditing software and systems
  • Knowledge of healthcare regulations and industry standards
  • Experience with data analytics and visualization tools
  • Certification in compliance or risk management

Benefits and Perks

  • Competitive salary and benefits package
  • Opportunity to work remotely and balance work and life
  • Professional development and training opportunities
  • Collaborative and dynamic work environment
  • Access to cutting-edge technology and tools
  • Comprehensive health insurance and retirement savings plan
  • Paid time off and holidays
  • Employee recognition and reward programs

How to Stand Out

  • Tailor your resume: Highlight your auditing experience, particularly in the healthcare industry, and emphasize your knowledge of financial auditing, compliance, and risk management principles.
  • Develop a strong understanding of regulatory requirements: Stay up-to-date with changes in healthcare regulations and industry standards to demonstrate your expertise and commitment to compliance.
  • Prepare examples of your work: Be prepared to provide examples of your auditing experience, including any challenges you faced and how you overcame them.
  • Showcase your analytical skills: Highlight your ability to analyze complex financial data and identify risk areas, and be prepared to provide examples of your analytical work.
  • Demonstrate your communication skills: Show that you can effectively communicate complex issues and recommendations to both technical and non-technical stakeholders.
  • Be prepared to discuss your experience with technology: Highlight your proficiency in Microsoft Office, particularly Excel and Word, and any experience you have with auditing software and systems.
  • Research the company: Show your knowledge of BlueCross BlueShield of South Carolina and its mission, values, and goals, and be prepared to discuss how you can contribute to the organization's success.

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