at Elevance Health in WILMINGTON, Delaware, United States
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Audit & Reimbursement II (US) + Job Family: Audit
+ Type: Full time
+ Date Posted:Jan 30, 2024
+ Anticipated End Date:Feb 19, 2024
+ Reference: JR103679
Location: + NY, EAST SYRACUSE
+ TX, DENISON
+ MD, BALTIMORE
+ NJ, MORRISTOWN
+ WI, Waukesha
+ FL, MIAMI
+ IN, INDIANAPOLIS
+ OH, CINCINNATI
+ VA, RICHMOND
+ KY, LOUISVILLE
+ NY, NEW YORK
+ WA, SEATTLE
+ NH, MANCHESTER
+ TX, GRAND PRAIRIE
+ IL, CHICAGO
+ MI, DEARBORN
+ TN, NASHVILLE
+ NY, MIDDLETOWN
+ LA, METAIRIE
+ MN, GILBERT
+ DC, WASHINGTON
+ GA, MIDLAND
+ NV, LAS VEGAS
+ TX, HOUSTON
+ MN, MENDOTA HEIGHTS
+ VA, NORFOLK
+ MO, ST LOUIS
+ CT, WALLINGFORD
+ MD, HANOVER
+ WV, CHARLESTON
+ NJ, ISELIN
+ DE, WILMINGTON
+ OH, MASON
+ OH, SEVEN HILLS
+ RI, SMITHFIELD
+ CO, DENVER
+ MA, HINGHAM
+ NV, LAS VEGAS
+ North Carolina, Cary
+ PA, HARRISBURG
+ NC, WINSTON
+ ME, SOUTH PORTLAND
+ GA, ATLANTA
+ NY, LATHAM
+ OH, COLUMBUS
+ FL, TAMPA
+ IA, W DES MOINES
+ VA, ROANOKE
+ MA, WOBURN
Description Audit & Reimbursement II Locations: This is a virtual position, the ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.
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 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 II will gain experience on the Medicare cost report and Medicare Part A Reimbursement. They will receive training to participate in contractual workload, along with opportunities to participate on special projects. This position provides a valuable opportunity to gain 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.
How you will make an impact: + Perform cost report acceptance, interim rate reviews, tentative settlements and final settlements as assigned
+ 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.
Minimum Qualifications: Requires a BA/BS degree and a minimum of 2 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 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.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $52,400 to $94,320.
Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ
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 for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.
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.
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, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and commun
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