Auditor I, Medicare

BlueCross BlueShield of South Carolina•Birmingham, AL

1d•Hybrid

About The Position

Responsible for assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls. Audits the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management. Reviews assigned portions of audit programs, determines compliance with policies and procedures, recommends corrective action plans, and prepares/submits reports on the results of audits. Conducts 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. 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. Conducts testing of corrective actions as identified. Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of finding 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.

Requirements

Bachelors in a job-related field
No previous work experience required.
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.
Microsoft Office.

Nice To Haves

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

Responsibilities

Assisting in the execution of financial, compliance, and operational audits including evaluation of internal controls.
Auditing the activity of various departments and providers for compliance with plans, policies, and procedures prescribed by management.
Reviewing assigned portions of audit programs, determining compliance with policies and procedures, recommending corrective action plans, and preparing/submitting reports on the results of audits.
Conducting 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.
Interviewing key personnel, conducting testing, evaluating internal controls, analyzing existing financial and management practices to determine effectiveness, and reviewing relevant documentation to support findings.
Developing detailed reports on each audit conducted, including a review of findings and an identification of recommendations to correct any deficiencies and methods for improvement to processes.
Conducting testing of corrective actions as identified.
Conducting special audit studies for management, such as those required to discover controls for prevention of fraud.
Preparing reports of findings and recommendations for management.
Assisting other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.