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SCA Quality Auditor I

1 month ago

South Portland, United States Elevance Health Full time

SCA Quality Auditor I

Location(s): This is a virtual role, the ideal candidate will be located within 50 miles of one of the following NGS Elevance Health office locations; Indianapolis, IN, Harrisburg, PA, Denison, TX, Syracuse, NY, Hingham, MA, South Portland, ME.

Pay: the pay for this position varies by location, is set by the government, and is non-negotiable .

The pay is as follows:

  • Indianapolis, IN- 26.24

  • Harrisburg, PA- $24.92

  • Denison, TX- $24.92

  • Hingham, MA- $27.54

  • South Portland, ME- $24.92

  • Syracuse, NY- $26.24

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 SCA Quality Auditor I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines.

How you will make an impact:

  • Identifies documents and reports any transaction errors in a timely manner to ensure prompt resolution.

  • Applies expert knowledge in most areas. Able to perform simple functions; works under general direction.

  • Examines and evaluates on a prepayment basis the accuracy of transactions processed by reviewing policy, procedure and manual input in accordance with guidelines.

  • Tracks and trends audit results, providing feedback to management.

  • Generates monthly reports of audit findings, supports clients with issued identified, develops reports to assist management with information requested.

  • Produces other ad hoc reports as requested by internal and external clients.

Minimum Requirements:

  • Requires H.S. diploma or equivalent; 9 months to 1 year related 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:

  • Medicare Part B Provider Enrollment Experience is strongly preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $26.24

Locations: 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 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.