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Auditor II

1 month ago


Fairfield, United States Sacred Heart University Full time

This is a virtual position, the ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. 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. How you will make an impact : 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. Assist on cost report audits, may serve as an in-charge auditor on less complex audits. 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 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 Qualifications: 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. 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. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. 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. #J-18808-Ljbffr