Elevance Health
Join to apply for the
Audit & Reimbursement II-Appeals
role at
Elevance Health .
Base pay range: $53,580.00/yr - $88,830.00/yr.
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 for employment unless an accommodation is granted as required by law.
We are a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with CMS to transform federal health programs.
The
Audit & Reimbursement II
will support our Medicare Administrative Contract (MAC) with the federal government (CMS). Under guided supervision, the Auditor will gain experience on the Medicare cost report and Medicare Part A Reimbursement. They will receive training to participate in contractual workload and have opportunities to work on special projects. This position provides a valuable opportunity to gain experience in auditing and financial analysis within a growing healthcare industry, and offers educational opportunities leading to certifications.
How You Will Make an Impact
Analyze and interpret data and make 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.
Analyze and interpret data per a provider's trial balance, financial statements, financial documents, or other related healthcare records.
Perform cost report reopenings.
Under guided supervision, participate in completing appeals related work such as position papers, jurisdictional reviews, maintaining accurate records by updating all logs, case files, tracking systems.
Participate in all team meetings, staff meetings, and training sessions.
Minimum Requirements
BA/BS degree in Finance, Accounting, Business or any combination of education and related experience equivalent to the required background.
Foreign national applicants must meet the residency requirement of living in the United States at least three of the last 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.
Valid driver's license and ability to travel may be required.
For candidates working in person or virtually in the below locations, the salary* range for this specific position is $53,580 to $88,830. Locations: Nevada, Minnesota, Maryland, Massachusetts, Columbus, Ohio and New York.
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution. These benefits are subject to eligibility requirements. All compensation is based on legitimate non-discriminatory factors set by the company.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week.
If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
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 the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
#J-18808-Ljbffr
Audit & Reimbursement II-Appeals
role at
Elevance Health .
Base pay range: $53,580.00/yr - $88,830.00/yr.
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 for employment unless an accommodation is granted as required by law.
We are a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with CMS to transform federal health programs.
The
Audit & Reimbursement II
will support our Medicare Administrative Contract (MAC) with the federal government (CMS). Under guided supervision, the Auditor will gain experience on the Medicare cost report and Medicare Part A Reimbursement. They will receive training to participate in contractual workload and have opportunities to work on special projects. This position provides a valuable opportunity to gain experience in auditing and financial analysis within a growing healthcare industry, and offers educational opportunities leading to certifications.
How You Will Make an Impact
Analyze and interpret data and make 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.
Analyze and interpret data per a provider's trial balance, financial statements, financial documents, or other related healthcare records.
Perform cost report reopenings.
Under guided supervision, participate in completing appeals related work such as position papers, jurisdictional reviews, maintaining accurate records by updating all logs, case files, tracking systems.
Participate in all team meetings, staff meetings, and training sessions.
Minimum Requirements
BA/BS degree in Finance, Accounting, Business or any combination of education and related experience equivalent to the required background.
Foreign national applicants must meet the residency requirement of living in the United States at least three of the last 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.
Valid driver's license and ability to travel may be required.
For candidates working in person or virtually in the below locations, the salary* range for this specific position is $53,580 to $88,830. Locations: Nevada, Minnesota, Maryland, Massachusetts, Columbus, Ohio and New York.
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution. These benefits are subject to eligibility requirements. All compensation is based on legitimate non-discriminatory factors set by the company.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week.
If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
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 the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
#J-18808-Ljbffr