Full-Time

Medicare Cost Reporting Auditor 3

Posted on 9/11/2026

Deadline 10/9/26
BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina

Health insurance and plan administration

Compensation Overview

$57.8k - $110.4k/yr

Columbia, SC, USA

Remote

Travel between office buildings and out of town may be required.

Bachelor's

Category
Risk & Compliance (1)
Required Skills
Microsoft Office
Data Analysis
Requirements
  • A bachelor's degree in a job-related field is required.
  • Five years of auditing experience are required.
  • Knowledge of the principles and practices of auditing is required.
  • Ability to analyze financial data, determine its applicability, draw conclusions, and make appropriate recommendations is required.
  • Ability to gather information by examining records and documents and interviewing individuals about those records is required.
  • Strong interpersonal skills and the ability to work professionally with persons at all levels and maintain effective working relationships are required.
  • Ability to communicate clearly and effectively in oral and written form is required.
  • Ability to handle sensitive matters confidentially is required.
  • Analytical, critical-thinking, and problem-solving capabilities are required.
  • Proficiency with Microsoft Office is required.
Responsibilities
  • Conduct timely internal and external operational, financial, and compliance audits of corporate divisions, departments, providers, and activities, including evaluation of internal controls.
  • Identify, document, and evaluate business risks.
  • Develop written audit programs.
  • Conduct testing and analysis of existing controls to determine their adequacy and effectiveness.
  • Prepare written work papers documenting testing results and conclusions.
  • Document issues, their causes, and their effects on processes, functions, and the corporation.
  • Serve as lead auditor on more complex audit assignments.
  • Draft recommendations to limit risks and improve processes, functions, and activities.
  • Write audit reports for corporate executive management that clearly convey engagement evaluations, conclusions, and recommendations.
  • Collect and analyze data to detect deficient controls, duplicated effort, fraud, or noncompliance with laws, regulations, and management policies.
  • Conduct testing of corrective actions.
  • Develop detailed reports for each audit, including findings, recommendations to correct deficiencies, and methods for improving processes.
  • Examine and evaluate financial and information systems and recommend controls to ensure system reliability and data integrity.
  • Conduct special audit studies for management, including studies to identify controls for fraud prevention.
  • Prepare reports of findings and recommendations for management.
  • Provide training to and assist or lead other auditors in completing assignments to maximize audit efficiency.
  • Expand knowledge of applicable laws, regulations, program instructions, and technology through self-study, corporate offerings, and formal training programs.
Desired Qualifications
  • A bachelor's degree in any major is preferred.
  • Certified Internal Auditor, Certified Public Accountant, or Certified Information Systems Auditor certification is preferred.
BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina

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BlueCross BlueShield of South Carolina is a South Carolina-owned mutual health insurer and health-plan administrator. It offers individual, employer, Medicare and other coverage while operating provider networks, member services, claims and administrative programs. The organization also supports government and commercial health contracts through related businesses and specialized operations. This profile refers specifically to the South Carolina company, not the national Blue Cross Blue Shield Association, and centers on its role connecting members, employers, healthcare providers and public programs.

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