Elevance Health
Audit & Reimbursement III- Medicare Cost Report Audit
Elevance Health, Miami, Florida, us, 33222
Job Title
Audit & Reimbursement III - Medicare Cost Report Audit
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.
Overview 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 III will support our Medicare Administrative Contract (MAC) with CMS, gaining experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement. Participants will work on contractual audit and reimbursement workloads and may engage in special projects, gaining valuable auditing and financial analysis experience within a growing healthcare industry.
How you will make an impact
Analyzes and interprets data and makes recommendations for change based on judgment and experience.
Able to work independently on assignments and under minimal guidance from the manager.
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 duties of lower‑level positions as directed by management.
Participates in special projects and review of work done by auditors as assigned.
Assist in mentoring less experienced associates as assigned.
Perform complex cost report desk reviews.
Perform complex cost report audits, serving as an in‑charge auditor assisting other auditors assigned to the audit.
May perform supervisory review of work completed by other associates, depending on experience.
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 and a minimum of 3 years of audit/reimbursement or related Medicare experience; or a combination of education and experience that provides an equivalent background.
This position is part of our NGS division which, per CMS TDL 190275, requires foreign national applicants to 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, or 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 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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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.
Overview 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 III will support our Medicare Administrative Contract (MAC) with CMS, gaining experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement. Participants will work on contractual audit and reimbursement workloads and may engage in special projects, gaining valuable auditing and financial analysis experience within a growing healthcare industry.
How you will make an impact
Analyzes and interprets data and makes recommendations for change based on judgment and experience.
Able to work independently on assignments and under minimal guidance from the manager.
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 duties of lower‑level positions as directed by management.
Participates in special projects and review of work done by auditors as assigned.
Assist in mentoring less experienced associates as assigned.
Perform complex cost report desk reviews.
Perform complex cost report audits, serving as an in‑charge auditor assisting other auditors assigned to the audit.
May perform supervisory review of work completed by other associates, depending on experience.
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 and a minimum of 3 years of audit/reimbursement or related Medicare experience; or a combination of education and experience that provides an equivalent background.
This position is part of our NGS division which, per CMS TDL 190275, requires foreign national applicants to 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, or 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 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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