Summary
 

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.

Description
 

This position is a full-time remote position working Monday-Friday with typical work hours of 8:00 to 5:00.

What You'll Do:

• Performs supervisory review of all audit work papers completed by the team to ensure all work conforms to CMS and other government auditing standards.

• Performs supervisory review of all cost report acceptances and desk reviews to ensure timeliness requirements are met and all CMS standards are adhered to.

• Plans, monitors, and budgets all work assigned for the team, and evaluates and reports results.

• Performs supervisory review of all settlement packages ensuring product meets all CMS standards.

• Assists in developing the audit staff by providing on-the-job training as well as preparing and presenting formal staff training sessions.

• Researches issues and responds to provider and CMS requests in a timely manner.

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 Education: Bachelor's degree- any major

Preferred Licenses and Certificates: Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or Certified Management Accountant (CMA)

Work Environment: Typical office environment. Some travel between office buildings. Some out of town travel.

Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at 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.

Salary Range:

Range Minimum

$65,485.00

Range Midpoint

$98,081.00

Range Maximum

$130,677.00

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

Some states have required notifications. Here's more information. 

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

Some states have required notifications. Here's more information.