Auditor - Medicare Cost Report

Summary

Why should you join the Blue Cross Blue Shield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, 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 that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audit the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Review assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits.

This position is full-time (40-hours/week) Monday-Friday and will be full on site located at 17 Technology Circle, Columbia, SC 29203. You will work an 8-hour shift scheduled during our business hours of 8:00AM-5:00PM.

Blue Cross Blue Shield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act (SCA). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

Conduct audits of the financial, management, and administrative procedures of assigned divisions, providers, departments, and various lines of businesses throughout the organization to ensure that procedures are in compliance. Audits include interviewing key personnel, conducting testing, evaluating internal controls, analyzing existing financial and management practices to determine effectiveness, and reviewing relevant documentation to support findings. Develop detailed reports on each audit conducted.

Report includes a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Conducts testing of corrective actions as identified. Conduct special audit studies for management, such as those required to discover controls for prevention of fraud. Prepare reports of finding and recommendations for management. Assist other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.

Required

Education:

Bachelor’s Degree in a job-related field (This position is open to students who are expected to graduate in May 2025)

Required

Work Experience:

No previous work experience required.

Microsoft Office

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 and the ability to work professionally with persons at all levels. Ability to communicate clearly and effectively in oral and written form.

Ability to handle sensitive matters on a confidential basis.