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BlueCross BlueShield of South Carolina
BlueCross BlueShield of South Carolina
KonsultavimasSveikatos priežiūraTeisė
„BlueCross BlueShield of South Carolina“ yra didelė sveikatos priežiūros organizacija ir sveikatos draudimo paslaugų teikėja, aptarnaujanti fizinius asmenis, šeimas, darbdavius ir sveikatos priežiūros paslaugų teikėjus. Jos paslaugos apima individualų ir šeimos draudimą, „Medicare“ pasirinkimus bei grupinius sveikatos draudimo planus. Juos papildo ištekliai, skirti padėti nariams pasiekti sveikatos priežiūros paslaugas ir jose orientuotis. 1946 m. įkurta organizacija taip pat pabrėžia sveikesnį gyvenimo būdą ir bendruomenės sveikatą, todėl gali būti aktuali darbo ieškantiems žmonėms, besidomintiems galimybėmis didelėje ir ilgametę patirtį turinčioje sveikatos priežiūros organizacijoje.
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Auditor II, Medicare Cost Reporting

Conducts financial, compliance, and operational audits for BlueCross Blue Shield of South Carolina, with a focus on Medicare cost reports. Evaluates controls and business risks, recommends corrective actions, and supports remote audits across the United States.

USJungtinės ValstijosALAlabamaAKAliaskaAZArizonaCAKalifornijaCOKoloradasCTKonektikutasFLFloridaHIHavajaiIDAidahasILIlinojusIAAjovaKSKanzasasKYKentukisLALuizianaMEMeinasMDMerilandasMAMasačusetsasMIMičiganasMNMinesotaMSMisisipėMOMisūrisMTMontanaNENebraskaNVNevadaNHNaujasis HampšyrasNJNaujasis DžersisNMNaujoji MeksikaNYNiujorkasNCŠiaurės KarolinaNDŠiaurės DakotaOHOhajasOKOklahomaOROregonasPAPensilvanijaRIRod AilandasSCPietų KarolinaSDPietų DakotaTNTenesisTXTeksasasUTJutaVTVermontasVAVirdžinijaWAVašingtonasWIViskonsinasWYVajomingas
49 447 $ – 94 737 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAuditorius

Aprašymas

  • Perform internal and external audits of operational, compliance, and financial activities.
  • Audit company divisions, departments, providers, and corporate operations, assessing internal controls.
  • Identify, document, and assess business risks.
  • Record audit issues, their causes, and their effects on business processes and the corporation.
  • Recommend ways to reduce risk and improve processes and activities.
  • Prepare audit reports for corporate executive management.
  • Gather and analyze data to identify control weaknesses, duplicated work, fraud, or noncompliance.
  • Test corrective actions.
  • Produce detailed reports for each audit.
  • Review audit findings and recommend ways to address deficiencies and improve processes.
  • Assess financial and information systems, recommending controls that support reliability and data integrity.
  • Conduct special audit studies for management, including reviews of fraud prevention controls.
  • Prepare reports of audit findings and recommendations for management.
  • Support other auditors in improving audit efficiency and reducing wasted time and corporate staff involvement.

Reikalavimai

  • Bachelor’s degree in a job-related field.
  • Three years of auditing experience.
  • Proficiency with Microsoft Office.
  • Knowledge of auditing principles and practices.
  • Ability to analyze financial data and determine its applicability.
  • Ability to draw conclusions and make appropriate recommendations based on analyzed data.
  • Ability to gather information by reviewing records and documents and interviewing people.
  • Strong interpersonal skills.
  • Ability to maintain effective working relationships.
  • Clear and effective oral and written communication skills.
  • Ability to handle sensitive matters confidentially.
  • Preferred: Three years of Medicare cost report audit experience.
  • Preferred: 12 credit hours in accounting and/or finance.
  • Preferred certifications: Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information Systems Auditor (CISA).

Privalumai

  • Subsidized health plans, dental coverage, and vision coverage.
  • 401(k) retirement savings plan with a company match.
  • Life insurance.
  • Paid time off (PTO).
  • On-site cafeterias and fitness centers at major locations.
  • Education assistance.
  • Service recognition.
  • Nationwide discounts on movies, theaters, zoos, theme parks, and more.
  • A diverse and inclusive workplace.
  • Reasonable accommodations for disabilities, pregnancy, pregnancy-related conditions, and sincerely held religious beliefs.

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Guide Healthcare

Registered Nurse Clinical Compliance Auditor

Guide Healthcare
51 – 200 Darbuotojai
ĮdarbinimasSveikatos draudimasSveikatos priežiūra
USJungtinės ValstijosTXTeksasas
82 000 $ – 87 000 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAuditorius

Audit utilization management, delegated services, and clinical compliance for Guidehealth’s value-based healthcare operations. This remote role supports regulatory readiness and clinical quality.

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