Lead Medicare Cost Reporting Auditor

BlueCross BlueShield of South Carolina•Columbia, SC
•Remote

About The Position

Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor’s assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects. This is a full-time remote opportunity working Monday-Friday. Independently and objectively helps plan and execute audits in accordance with professional auditing standards. Performs or supports audits focused primarily on operational controls, asset safeguarding, and compliance with procedures, laws, and regulations. Functions as in-charge auditor of the most complex audit reviews and/or cost reports. May conduct reviews of account reconciliations performed by various financial areas. Identifies and analyzes related key processes, systems, and controls to determine effectiveness. Communicates audit status and results to management, with emphasis on discussing deficiencies and recommending corrective actions. Prepares formal written work papers and reports, documenting audit work performed and expressing conclusion. Assesses desk reviews performed by subordinate auditors to ensure that quality audit work is performed and on-the-job training is provided as necessary. Assists in ensuring that all assigned audits are completed and reviewed in accordance with Generally Accepted Accounting Principles, Generally Accepted Auditing Standards and, Government Auditing Standards. Coordinates the completion of these assignments in a manner which results in timely completion of all assignments in accordance with budget performance requirements as well as departmental interim goals. Directs the day-to-day efforts of assigned audit staff by reviewing and planning assignments, training, and providing leadership and guidance. Assists in the development and revision of work instructions, forms, and procedures. Broadens and maintains working knowledge of applicable laws, regulations, and procedures through self-study programs, on-the-job training, attending seminars and network association’s formal training programs. Communicates with internal and external areas as necessary to ensure efficient completion of assigned tasks.

Requirements

  • Bachelor's in a job related field
  • 7 years auditing or accounting experience
  • One year leading audits
  • 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.
  • Knowledge of cost accounting standards and General Accepted Accounting Principles.
  • Knowledge and use of auditing standards and statistical sampling techniques.
  • Good planning and organization skills.
  • Microsoft Office.

Nice To Haves

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

Responsibilities

  • Coordinate and complete audit reviews.
  • Review audit work papers and reports completed by department staff.
  • Distribute reports to management.
  • Coordinate auditor’s assignments.
  • Mentor and coach department staff.
  • Assist the department manager with the direction of the workflow of various risk management activities and special projects.
  • Plan and execute audits in accordance with professional auditing standards.
  • Perform or support audits focused primarily on operational controls, asset safeguarding, and compliance with procedures, laws, and regulations.
  • Function as in-charge auditor of the most complex audit reviews and/or cost reports.
  • Conduct reviews of account reconciliations performed by various financial areas.
  • Identify and analyze related key processes, systems, and controls to determine effectiveness.
  • Communicate audit status and results to management, with emphasis on discussing deficiencies and recommending corrective actions.
  • Prepare formal written work papers and reports, documenting audit work performed and expressing conclusion.
  • Assess desk reviews performed by subordinate auditors to ensure that quality audit work is performed and on-the-job training is provided as necessary.
  • Ensure that all assigned audits are completed and reviewed in accordance with Generally Accepted Accounting Principles, Generally Accepted Auditing Standards and, Government Auditing Standards.
  • Coordinate the completion of assignments in a manner which results in timely completion of all assignments in accordance with budget performance requirements as well as departmental interim goals.
  • Direct the day-to-day efforts of assigned audit staff by reviewing and planning assignments, training, and providing leadership and guidance.
  • Assist in the development and revision of work instructions, forms, and procedures.
  • Broaden and maintain working knowledge of applicable laws, regulations, and procedures through self-study programs, on-the-job training, attending seminars and network association’s formal training programs.
  • Communicate with internal and external areas as necessary to ensure efficient completion of assigned tasks.

Benefits

  • 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
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