Medicare Cost Report Auditor III

Logistics: CGS (cgsadmin.com),  – one of BlueCross BlueShield's South Carolina subsidiary companies.

Location: This position is full-time (40-hours/week) Monday-Friday working REMOTE in the US or on-site in Springfield, IL. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM.

What You’ll Do:

• Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls.

• Identifies, documents, and evaluates business risks.

• Develops written audit programs. Conducts testing and analysis of existing controls to determine adequacy and effectiveness.

• Prepares written work papers to document testing results and conclusions reached.

• Documents issues, the causes of those issues, and their effects on the process/function and the corporation.

• Serves as Lead Auditor on more complex audit assignments.

• 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.

• Examine and evaluate 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.

• Provides training to and assists or leads other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.

• Strives to expand knowledge of applicable laws, regulations, program instructions, and technology through self-study, corporate offerings, and formal training programs.

To Qualify for This Position, You'll Need the Following:

• Required Education: Bachelor’s in a job related field.

• Required Experience: 5 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, to draw conclusions and make appropriate recommendations.

  • Ability to gather information by examining records and documents and to interview individuals concerning those records.

  • Strong interpersonal skills and the ability to work professionally with persons at all levels, and 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. 

  • Excellent analytical or critical thinking and problem solving capabilities.

We Prefer That You Have the Following:

• Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information Systems Auditor (CISA)

• Medicare/MAC audit experience

• Strong Excel skills

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 
 $57,790.00

Range Midpoint 
 $84,089.00

Range Maximum 
 $110,388.00  

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.