Elevance Health
Audit & Reimbursement II
Location: This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted as required by law.
National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.
How You Will Make An Impact
Analyze and interpret data and makes recommendations for change based on judgment and experience.
Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements.
Gain experience with applicable Federal Laws, regulations, policies and audit procedures.
Respond timely and accurately to customer inquiries.
Ability to multi‑task while independently and effectively prioritizing work using time management, initiative, project management and problem‑solving skills.
Perform cost report desk reviews.
Assist on cost report audits, may serve as an in‑charge auditor on less complex audits dependent upon experience, may perform supervisory review on work completed by other associates.
Analyze and interpret data per a provider’s trial balance, financial statements, financial documents, or other related healthcare records.
Minimum Requirements
Requires a BA/BS degree in Finance/Accounting/Business or any combination of education and related experience, which would provide an equivalent background.
This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years.
Preferred Skills, Capabilities, And Experiences
Degree in Accounting preferred.
Knowledge of CMS program regulations and cost report format preferred.
Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred.
MBA, CPA or CIA preferred.
Must obtain Continuing Education Training requirements (where required).
A valid driver’s license and the ability to travel may be required.
Equal Employment Opportunity Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state and local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified Applicants with Arrest or Conviction Records Will Be Considered Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.
How You Will Make An Impact
Analyze and interpret data and makes recommendations for change based on judgment and experience.
Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements.
Gain experience with applicable Federal Laws, regulations, policies and audit procedures.
Respond timely and accurately to customer inquiries.
Ability to multi‑task while independently and effectively prioritizing work using time management, initiative, project management and problem‑solving skills.
Perform cost report desk reviews.
Assist on cost report audits, may serve as an in‑charge auditor on less complex audits dependent upon experience, may perform supervisory review on work completed by other associates.
Analyze and interpret data per a provider’s trial balance, financial statements, financial documents, or other related healthcare records.
Minimum Requirements
Requires a BA/BS degree in Finance/Accounting/Business or any combination of education and related experience, which would provide an equivalent background.
This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years.
Preferred Skills, Capabilities, And Experiences
Degree in Accounting preferred.
Knowledge of CMS program regulations and cost report format preferred.
Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred.
MBA, CPA or CIA preferred.
Must obtain Continuing Education Training requirements (where required).
A valid driver’s license and the ability to travel may be required.
Equal Employment Opportunity Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state and local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified Applicants with Arrest or Conviction Records Will Be Considered Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
#J-18808-Ljbffr