Audit & Reimbursement II jobs in United States
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Elevance Health · 21 hours ago

Audit & Reimbursement II

Elevance Health is a health company dedicated to improving lives and communities. The Audit and Reimbursement II role supports the Medicare Administrative Contract with the federal government, focusing on auditing and financial analysis within the healthcare industry while providing opportunities for training and certifications.

Health CareHealth InsurancePersonal HealthWellness
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Responsibilities

Analyze and interprets data and makes recommendations for change based on their 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
Perform cost report reopenings

Qualification

Financial AnalysisMedicare RegulationsCost Report AuditsMicrosoft ExcelAccounting DegreeProject ManagementProblem-SolvingTime ManagementCommunication Skills

Required

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
Analyze and interprets data and makes recommendations for change based on their 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
Perform cost report reopenings

Preferred

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

Benefits

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources

Company

Elevance Health

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Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Funding

Current Stage
Public Company
Total Funding
unknown
2001-10-30IPO

Leadership Team

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Gail K. Boudreaux
President and CEO
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Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
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Company data provided by crunchbase