Audit & Reimbursement Iii

at Elevance Health in Boise, Idaho, United States

Audit & Reimbursement III

+ Job Family: Audit

+ Type: Full time

+ Date Posted:Jan 31, 2023

+ Req #: JR45506

Location:

+ NY, EAST SYRACUSE

+ National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint

+ ME, SOUTH PORTLAND

Description

Audit & Reimbursement III

This is a remote position open nationwide

Primary Purpose: This position reports to the National Government Services, Inc. subsidiary. The Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement. They will participate in contractual Audit and Reimbursement workload, and have opportunities to participate on special projects. This position provides a valuable opportunity to gain further experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities.

Responsible for completing more complex Audit & Reimbursement functions

Primary duties may include, but are not limited to:

+ 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

+ Must be able to perform all 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

+ Dependent upon experience, may perform supervisory review of 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 Qualifications:

+ Requires a BA/BS degree and a minimum of 5 years of audit/reimbursement or related Medicare experience; or any combination of education and 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 Qualifications:

+ Degree in Accounting or other Business related degree

+ Knowledge of Microsoft Word and Excel

+ Knowledge of CMS program regulations, cost report format, and CMS computer systems preferred

+ A valid driver's license and the ability to travel may be required

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $59,840 to $107,712

Locations: California; Colorado; Nevada; Washington State; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 (in