Government Audit Manager
BlueCross BlueShield of South Carolina · Birmingham, AL · 2 wk ago
AccountingFull-time
This is a full-time position working 40 hours per week, Monday through Friday. We are ideally considering candidates that can work on-site in Birmingham, AL or Columbia, SC, but US-based remote candidates with strong credentials will be considered for the role.
Responsibilities
- Manages audit work to ensure appropriate flow of production is achieved within required timeliness standards.
- Reports results on a regular basis to management.
- Responds to provider questions on a wide range of audit topics and meets as necessary to resolve disputed items.
- Prepares instructions for staff to assist their understanding of Medicare regulations and company policies.
- Assists in the development of QMS instructions and programs and in the continued ISO certification of the unit.
- Communicates with and responds to inquiries from CMS and other government/external law enforcement agencies.
- Evaluates the composition of existing staff, interviews and hires new staff, completes annual performance evaluations, oversees promotional decisions, and shifts staff as needed to meet work requirements.
- Ensures audits are of sufficient quality and in compliance with all department, company, and CMS requirements through periodic review and inspection of work products.
- Responds to audit inquiries and findings produced by external reviewers.
- Performs special projects as assigned by management and expands working knowledge/technical skills.
Requirements
- Bachelor's degree in Accounting, Finance, Business Administration, or other job-related field of study.
- 5 years of experience in operational/functional audits within the healthcare industry.
- 2 years of supervisory audit experience or equivalent military experience in grade E4 or above.
- Strong interpersonal skills and the 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.
- Strong presentation, interviewing, and organizational skills with a strong attention to detail.
- Ability to make sound decisions.
- Strong knowledge of and proficiency in applying accounting principles and auditing standards.
- Strong knowledge of and proficiency in healthcare operational and financial systems.
- Ability to grasp and understand complex systems.
- Ability to analyze details and determine impact to corporation.
- Ability to understand management principles.
- Good planning, leadership, and human relations skills.
- Experience with Microsoft Office.
Preferred Qualifications
- Medicare Cost Report audit experience.
Benefits
- 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.
- Wellness program and healthy lifestyle premium discount.
- Tuition assistance.
- Service recognition.
- Employee Assistance Program.
- Discounts to movies, theaters, zoos, theme parks, and more.