Summary
 

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, 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 that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Description
 

Position Purpose:

Responsible for supervising the receipt, review, and settlement of the Medicare cost report, ensuring all Centers for Medicare and Medicaid Services (CMS) requirements are met throughout the process.

What You'll Do:

• Perform supervisory review of all audit work papers completed by the team to ensure all work conforms to CMS and other government auditing standards
• Perform supervisory review of all cost report acceptances and desk reviews to ensure timeliness requirements are met and all CMS standards are adhered to.
• Plan, monitor, and budget all work assigned for the team, and evaluate and reports results.
• Perform supervisory review of all settlement packages ensuring product meets all CMS standards.
• Assist in developing the audit staff by providing on-the-job training as well as preparing and presenting formal staff training sessions.
• Research issues and responds to provider and CMS requests in a timely manner. ​

To Qualify for This Position, You’ll Need:

Required Education:

• Bachelor's in a job-related field.

Required Work Experience:

• 5 years auditing or accounting experience including 1 year in a leadership role or equivalent military experience in grade E4 or above.

Required Skills and Abilities:

• Knowledge of cost accounting standards and Generally Accepted Accounting Principles.
• Knowledge and use of auditing standards and statistical sampling techniques.
• Good planning, organization, and human relations skills.
• Knowledge of the principles and practices of auditing.
• Ability to analyze and determine the applicability of financial data.
• Ability to gather information by examining records and documents and to interview individuals.
• Strong interpersonal skills.
• Ability to work professionally with persons at all levels.
• 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.
• Ability to make presentations and apply critical thinking skills.
• Knowledge of provider reimbursement review board.
• Ability to interpret and implement changes to Medicare program.
• Thorough understanding of Uniform Contractor Evaluation Program guidelines.
• Ability to adapt to changing environment.
• Strong planning skills with the ability to makes sound decisions.

Required Software and Tools:

• Microsoft Office.

Preferred Licenses and Certificates:

• Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or Certified Management Accountant (CMA).

What We can Do for You:

We offer our employees great benefits and rewards.  You will be eligible to participate in the benefits the first of the month following 2