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
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
Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity.
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 [email protected] 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 [email protected] 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.
Skills Required
- Bachelor's degree in a job-related field
- Five years of auditing or accounting experience
- One year of leadership experience or equivalent military experience at grade E4 or above
- Knowledge of cost accounting standards and Generally Accepted Accounting Principles
- Knowledge and use of auditing standards and statistical sampling techniques
- Knowledge of Medicare provider reimbursement review board principles and practices
- Ability to interpret and implement changes to the Medicare program
- Thorough understanding of Uniform Contractor Evaluation Program guidelines
- Microsoft Office proficiency
- Certified Public Accountant, Certified Internal Auditor, or Certified Management Accountant certification
- Bachelor's degree in any major
BlueCross BlueShield of South Carolina Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about BlueCross BlueShield of South Carolina and has not been reviewed or approved by BlueCross BlueShield of South Carolina.
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Healthcare Strength — The package includes multiple medical and dental plan options, free vision, company‑paid life insurance, and short‑/long‑term disability, plus wellness programs and an EAP. On‑site clinics and fitness centers at major locations complement core health coverage.
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Leave & Time Off Breadth — Paid time off starts at about four weeks per year alongside nine paid holidays. This provides substantial baseline leave from day one.
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Wellbeing & Lifestyle Benefits — Wellness discounts, coaching, and incentives are emphasized, with on‑site fitness resources where available. Additional tools and services support day‑to‑day wellbeing.
BlueCross BlueShield of South Carolina Insights
What We Do
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state. We are the largest insurance company in South Carolina. We are also the only one that has an A+ Superior A.M. Best rating. We are one of the nation's leading government contract administrators. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies. Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance. If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty. BlueCross has a dedicated corporate culture of community support. Our employees are some of the most giving in the country. They support dozens of nonprofit organizations every year. If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now!
