Elevance Health
Overview
Audit & Reimbursement II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing flexibility and autonomy. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment 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. The Audit and Reimbursement II position will support our Medicare Administrative Contract (MAC) with CMS. Under guided supervision, the role will gain experience on the Medicare cost report and Medicare Part A Reimbursement. Training will be provided to participate in contractual workload, with opportunities to participate on special projects. This role offers a pathway to gain experience in auditing and financial analysis within a growing healthcare industry and includes educational opportunities leading to certifications and a well-balanced lifestyle with networking opportunities.
How you will make an impact
Analyze and interpret data and make recommendations 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 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. Depending on 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
BA/BS degree in Finance/Accounting/Business or any combination of education and related experience that provides an equivalent background. This position is part of the 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.
Important notices If this job is assigned to any Government Business Division entity, the applicant and incumbent may fall under a sensitive position designation with additional requirements, including background checks, government clearances, segregation of duties, and data handling instructions.
Location-specific salary range:
$53,580 to $88,830 . Locations: Nevada, Minnesota, Maryland, and New York.
Elevance Health offers a comprehensive benefits package and emphasizes equal pay opportunities. The salary range provided is a guide and may be adjusted based on location, experience, education, and other factors. Details of compensation, bonuses, benefits, and eligibility are governed by company policies and applicable law.
Please note: Elevance Health only accepts resumes for compensation from agencies with a signed agreement. Unsolicited resumes are considered the property of Elevance Health.
About Elevance Health
Elevance Health is a health company focused on improving lives and communities. We are a Fortune 25 company seeking leaders at all levels who are passionate about making an impact on our members and the communities we serve.
We work within a Hybrid Workforce Strategy. Associates are required to work at an Elevance Health location at least once per week unless specified as primarily virtual by the hiring manager. Specific onsite requirements will be discussed during the hiring process.
Vaccination policy: For certain patient/member-facing roles, vaccination against COVID-19 and Influenza may be required. Elevance Health will follow all applicable laws.
Equal Employment Opportunity: Elevance Health is an equal opportunity employer. All qualified applicants will receive consideration without regard to protected characteristics. Applicants who require accommodations may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws and ordinances.
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Audit & Reimbursement II Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing flexibility and autonomy. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment 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. The Audit and Reimbursement II position will support our Medicare Administrative Contract (MAC) with CMS. Under guided supervision, the role will gain experience on the Medicare cost report and Medicare Part A Reimbursement. Training will be provided to participate in contractual workload, with opportunities to participate on special projects. This role offers a pathway to gain experience in auditing and financial analysis within a growing healthcare industry and includes educational opportunities leading to certifications and a well-balanced lifestyle with networking opportunities.
How you will make an impact
Analyze and interpret data and make recommendations 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 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. Depending on 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
BA/BS degree in Finance/Accounting/Business or any combination of education and related experience that provides an equivalent background. This position is part of the 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.
Important notices If this job is assigned to any Government Business Division entity, the applicant and incumbent may fall under a sensitive position designation with additional requirements, including background checks, government clearances, segregation of duties, and data handling instructions.
Location-specific salary range:
$53,580 to $88,830 . Locations: Nevada, Minnesota, Maryland, and New York.
Elevance Health offers a comprehensive benefits package and emphasizes equal pay opportunities. The salary range provided is a guide and may be adjusted based on location, experience, education, and other factors. Details of compensation, bonuses, benefits, and eligibility are governed by company policies and applicable law.
Please note: Elevance Health only accepts resumes for compensation from agencies with a signed agreement. Unsolicited resumes are considered the property of Elevance Health.
About Elevance Health
Elevance Health is a health company focused on improving lives and communities. We are a Fortune 25 company seeking leaders at all levels who are passionate about making an impact on our members and the communities we serve.
We work within a Hybrid Workforce Strategy. Associates are required to work at an Elevance Health location at least once per week unless specified as primarily virtual by the hiring manager. Specific onsite requirements will be discussed during the hiring process.
Vaccination policy: For certain patient/member-facing roles, vaccination against COVID-19 and Influenza may be required. Elevance Health will follow all applicable laws.
Equal Employment Opportunity: Elevance Health is an equal opportunity employer. All qualified applicants will receive consideration without regard to protected characteristics. Applicants who require accommodations may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws and ordinances.
#J-18808-Ljbffr