Audit & Reimbursement Lead

1 week ago


Riverdale Park, Maryland, United States Elevance Health Full time
About the Role

We are seeking a highly skilled Audit & Reimbursement Lead to join our team at Elevance Health. As a key member of our National Government Services division, you will play a critical role in supporting our Medicare Administrative Contract (MAC) with the federal government.

Key Responsibilities
  • Provide technical leadership and supervision on contractual workload involving the Medicare cost report and Medicare Part A reimbursement.
  • Review work of associates to ensure adherence to guidelines and provide training/mentoring in formal and informal settings.
  • Monitor workload inventory to ensure timely completion and handle complex case research and resolutions.
  • Assist management with workload and financial budget responsibilities and work with internal and external audits and performance measures.
  • Analyze and interpret data with recommendations based on judgment and experience.
Requirements
  • BA/BS degree and a minimum of 8 years audit/reimbursement or related Medicare experience.
  • Previous experience at a Senior Auditor level in healthcare, public accounting, or a government agency.
  • Knowledge of CMS principles, law, and regulations, as well as experience with software used to file and finalize cost reports.
About Elevance Health

Elevance Health is a health company dedicated to improving lives and communities. 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.

We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. Elevance Health operates in a Hybrid Workforce Strategy, with associates required to work at an Elevance Health location at least once per week.

We are 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.



  • Riverdale Park, Maryland, United States Bridgestone Americas Full time

    Job Title: Automotive Lead TechnicianAt Bridgestone Americas, we're seeking a highly skilled Automotive Lead Technician to join our team. As a key member of our team, you'll be responsible for diagnosing and repairing complex automotive issues, while mentoring and leading a team of technicians to deliver exceptional customer service.Key...


  • Riverdale Park, Maryland, United States Bridgestone Americas Full time

    Job SummaryThe Automotive Lead Technician position is a key role in our team, requiring a high level of technical expertise and leadership skills. As a seasoned professional, you will be responsible for diagnosing and repairing complex automotive systems, while mentoring and guiding a team of technicians to deliver exceptional customer service.Key...


  • Riverdale Park, Maryland, United States Biolife Plasma Services Full time

    Job SummaryWe are seeking a highly skilled and experienced Plasma Center Manager to join our team at BioLife Plasma Services. As a key member of our leadership team, you will be responsible for managing the day-to-day operations of our plasma collection facility, ensuring compliance with regulatory requirements, and driving business growth.Key...


  • Riverdale Park, Maryland, United States Biolife Plasma Services Full time

    Job SummaryWe are seeking a highly skilled and experienced Plasma Center Manager to join our team at BioLife Plasma Services. As a key member of our leadership team, you will be responsible for managing the day-to-day operations of our plasma collection facility, ensuring compliance with regulatory requirements, and driving business growth.Key...

  • Safety Manager

    3 weeks ago


    Riverdale Park, Maryland, United States Dragados Full time

    Safety Coordinator Job DescriptionAt Dragados, we are seeking a highly skilled and experienced Safety Coordinator to join our team. The successful candidate will be responsible for administering compliance with our safety program and leading accident prevention efforts to ensure company and project safety goals are met.Key Responsibilities:Conduct site...

  • Safety Manager

    2 weeks ago


    Riverdale Park, Maryland, United States Dragados Full time

    Job SummaryWe are seeking a highly skilled Safety Coordinator to join our team at Dragados. The successful candidate will be responsible for administering compliance with our safety program and leading accident prevention efforts to ensure company and project safety goals are met.ResponsibilitiesConduct site inspections of project work areas and equipment to...


  • Riverdale Park, Maryland, United States Epic Travel Staffing Full time

    Epic Travel Staffing is seeking a skilled Radiologic Technologist to fill a Travel - CT Tech position. The ideal candidate will have 2 years or more experience with trauma and stroke, as well as an Associate's Degree or equivalent. The role requires completion of an approved Radiologic Technology program, BLS, and ARRT certification. Additionally, the...

  • Plasma Donor Screener

    2 weeks ago


    Riverdale Park, Maryland, United States Biolife Plasma Services Full time

    About the RoleWe are seeking a highly motivated and detail-oriented individual to join our team as a Plasma Donor Screener. As a key member of our plasma center operations team, you will play a critical role in ensuring the safety and well-being of our donors.Key ResponsibilitiesScreen new and repeat donors to ensure their eligibility to donateTake and...

  • Lead Registered Nurse

    3 weeks ago


    Takoma Park, Maryland, United States Community Clinic Full time

    Job Title: Lead Registered NurseAt Community Clinic, our mission is to deliver high-quality, patient-centered care to our community members, leading the way to a more equitable healthcare system for everyone.Job Summary:The Lead Registered Nurse, under the direction of the Director of Nursing and the clinical care team, serves as an integral member of the...


  • College Park, Maryland, United States Wellstar Health System, Inc. Full time

    Job SummaryWe are seeking a highly skilled and experienced Lead Registered Radiology Technologist to join our team at Wellstar Cobb Hospital in Austell, Georgia. As a key member of our Diagnostic Imaging Services department, you will be responsible for providing exceptional patient care, leading a team of technologists, and ensuring the highest quality...

  • Lead Registered Nurse

    3 weeks ago


    Takoma Park, Maryland, United States Community Clinic Full time

    Job Title: Lead Registered NurseAt Community Clinic, we are committed to delivering high-quality, patient-centered care to our community members. We are seeking a highly skilled and experienced Lead Registered Nurse to join our team.Job Summary:The Lead Registered Nurse will serve as a key member of our nursing and health center leadership teams, providing...


  • Takoma Park, Maryland, United States Community Clinic Full time

    Job Title: Lead Registered NurseAt Community Clinic, we are committed to delivering high-quality, patient-centered care to our community members. As a Lead Registered Nurse, you will play a vital role in our mission to improve health equity through the provision of affordable primary care for all.Job Summary:The Lead Registered Nurse will serve as an...

  • Systems Analyst

    2 days ago


    East Riverdale, Maryland, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled Systems Analyst to join our team at Elevance Health. As a key member of our IT department, you will be responsible for defining project scope, managing defined scope, and leading system requirements definition, design, testing, training, and implementation support.Key ResponsibilitiesAssist in defining project scope...

  • Production Manager

    3 weeks ago


    College Park, Maryland, United States Judge Direct Placement Full time

    Production Manager Job Description **Job Summary:** The Judge Group is seeking a highly skilled Production Manager to lead our Part 145 repair center in the College Park, GA area. As a key member of our team, you will be responsible for overseeing maintenance and preventive maintenance operations, ensuring efficient turnaround times, and maintaining...

  • Production Manager

    2 weeks ago


    College Park, Maryland, United States Judge Direct Placement Full time

    The Judge Group is seeking a skilled Production Manager to lead a Part 145 repair center in the College Park, GA area.Key Responsibilities:- Supervise maintenance and preventive maintenance teams- Ensure efficient turnaround and man-hour scheduling- Oversee tooling availability and shop equipment maintenance- Maintain quality standards and audit paperwork...

  • Production Manager

    3 weeks ago


    College Park, Maryland, United States Judge Direct Placement Full time

    The Judge Group is seeking a seasoned Production Manager to lead a Part 145 repair center in the College Park, GA area.COMPENSATION: $80,000 to $95,000REQUIREMENTS:5+ years of experience in a 14 CFR Part 145 certified repair station2+ years of experience working withStrong knowledge of FAA/EASA regulationsRESPONSIBILITIES:Reports to the Repair Station Leader...


  • College Park, Maryland, United States Ingka External Full time

    About the RoleWe are seeking a highly skilled Safety and Security Professional to join our team at Ingka External. As a key member of our risk management team, you will play a critical role in ensuring the safety and security of our people, assets, and customers.Key ResponsibilitiesConduct safety, security, and compliance audits and trainings to identify and...


  • College Park, Maryland, United States University of Maryland Full time

    {"title": "Web Accessibility Specialist", "description": "Job SummaryThe University of Maryland seeks a highly skilled Web Accessibility Specialist to lead the campus web accessibility efforts. This position will work closely with representatives of UMD academic and administrative units to evaluate the web accessibility of their websites and develop...

  • Logistics Analyst

    4 weeks ago


    Lexington Park, Maryland, United States ITC Defense Corp. Full time

    Job SummaryWe are seeking a highly skilled Logistics Analyst to join our team at ITC Defense Corp. The successful candidate will be responsible for providing analysis, coordination, and recommendations regarding the twelve Integrated Product Support (IPS) elements during an international program's life cycle. Special emphasis will be placed on Configuration...

  • Operations Director

    2 days ago


    Lexington Park, Maryland, United States Avenues Recovery Full time

    Job OverviewAvenues Recovery Center is a leading provider of comprehensive addiction treatment services, offering a range of programs and services to support individuals in their recovery journey. We are seeking an experienced Operations Manager to join our team at our Prince Frederick location.Key ResponsibilitiesOversee the day-to-day operations of the...