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Auditor II (Medicare Cost Reporting)


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 mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 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

Average salary estimate

$72092 / YEARLY (est.)
min
max
$49447K
$94737K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Auditor II (Medicare Cost Reporting), ourhrconnect

Are you ready to take your auditing skills to the next level with BlueCross BlueShield of South Carolina? We are looking for an Auditor II focused on Medicare Cost Reporting to join our team! With over seven decades in the industry, BlueCross BlueShield is not just any insurance company; we pride ourselves on being one of the largest and most reliable insurance providers in South Carolina. As an Auditor II, your primary responsibility will be to conduct thorough financial, compliance, and operational audits to ensure our corporate activities are up to par. You'll get to dig deep into our processes, evaluate internal controls, and make recommendations that can shape our corporate governance. This role offers you the flexibility of a remote work environment while serving as a crucial part of the audit team. Your insights will help us minimize risks and improve operational efficiency, reporting directly to corporate management. If you have a knack for analyzing financial data, strong interpersonal skills, and three years of experience in auditing, especially in Medicare cost reports, then you might be the perfect fit! Our comprehensive benefits package, including subsidized health plans, a 401k with company match, and educational assistance, supports our commitment to our employees. Join us at BlueCross BlueShield of South Carolina and make a significant impact on the healthcare landscape!

Frequently Asked Questions (FAQs) for Auditor II (Medicare Cost Reporting) Role at ourhrconnect
What responsibilities does an Auditor II at BlueCross BlueShield of South Carolina hold?

As an Auditor II at BlueCross BlueShield of South Carolina, you will be responsible for conducting internal and external audits, document and evaluate business risks, draft audit reports, and analyze data to ensure compliance with laws and regulations. Your role is integral in developing actionable recommendations that help improve internal processes and control systems.

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What qualifications are required for the Auditor II position at BlueCross BlueShield of South Carolina?

To qualify for the Auditor II position at BlueCross BlueShield of South Carolina, candidates must have a Bachelor’s degree in a related field and at least three years of auditing experience. Familiarity with Medicare cost reporting is highly preferred. Knowledge of Microsoft Office and strong communication and interpersonal skills are also essential.

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Does BlueCross BlueShield of South Carolina offer remote work for the Auditor II position?

Yes, the Auditor II position at BlueCross BlueShield of South Carolina offers the flexibility of remote work within the U.S., along with the option to work on-site at our Columbia, SC location. This arrangement helps employees balance work-life commitments effectively.

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What skills enhance performance as an Auditor II in BlueCross BlueShield of South Carolina?

Key skills for success as an Auditor II at BlueCross BlueShield of South Carolina include analytical thinking, attention to detail, effective communication, and proficiency in data analysis. Being able to build strong relationships with colleagues and clients will also foster a more collaborative work environment.

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What are the career advancement opportunities for an Auditor II at BlueCross BlueShield of South Carolina?

Career advancement opportunities for an Auditor II at BlueCross BlueShield of South Carolina are robust, given the nature of our organization. Exceptional performers may advance to senior auditor roles or specialize further in compliance or operational auditing, expanding their knowledge and impact within the company.

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Common Interview Questions for Auditor II (Medicare Cost Reporting)
Can you describe your experience with financial auditing?

When answering this question, provide specific examples from your previous roles where you successfully conducted financial audits. Highlight your methodologies and the outcomes of your audits to showcase your analytical skills.

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What methods do you use to evaluate internal controls?

Discuss various methods you employ to assess internal controls, including documentation reviews, interviews with staff, and data analysis techniques. Explain how these methods help in identifying risks.

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How do you handle discrepancies found during an audit?

Convey your approach to managing discrepancies, emphasizing the importance of a systematic review of all relevant documentation first, maintaining open communication with the involved parties, and ensuring transparency in reporting results.

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Can you share an experience where you had to report findings to executive management?

Share a specific instance where you prepared an audit report for senior management, focusing on how you presented your findings, the challenges you faced, and how you ensured your recommendations were clear and actionable.

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What software tools are you familiar with for audits?

List the auditing software and tools you've used in your career, including any ERP systems like SAP or Oracle, and emphasize how these tools have enhanced your efficiency and accuracy in audit processes.

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How do you stay updated with changes in auditing standards and regulations?

Mention resources you rely on such as professional associations, industry publications, and webinars that help you keep your knowledge current. Highlight any continuing education efforts you've undertaken.

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Describe a challenging audit you worked on and how you overcame obstacles.

Provide a detailed account of an audit that posed challenges, explaining how you navigated those difficulties, adjusted your strategies, and ultimately delivered a successful outcome.

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What role does teamwork play in your audit process?

Talk about the importance of teamwork in audits. Share experiences where collaboration with other auditors or departments contributed to more comprehensive audit outcomes and strengthened relationships within the organization.

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What are the key components of a successful audit report?

Outline the essential elements of an effective audit report such as clarity of findings, thorough analysis, actionable recommendations, and a professional presentation, ensuring you highlight your attention to detail in report writing.

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How would you approach a situation where management disagrees with your findings?

Explain that you would approach such situations diplomatically, restating your findings with supporting evidence, fostering open dialogue, and remaining objective. Stress the importance of maintaining professional integrity and working towards a resolution.

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DATE POSTED
April 19, 2025

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