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Senior Medicare Cost Report Auditor

2 months ago


Atlanta, Georgia, United States Elevance Health Full time

Job Overview

The Senior Medicare Cost Report Auditor is a pivotal role within our organization, operating in a virtual capacity across the United States.

At Elevance Health, we are committed to enhancing healthcare through our partnerships with government entities, specifically in managing Medicare contracts and collaborating with the Centers for Medicare and Medicaid Services.

In this role, the Senior Auditor will engage with our Medicare Administrative Contract (MAC) and develop expertise in intricate matters related to Medicare cost reporting and Part A reimbursement processes. The position involves handling various audit and reimbursement tasks, alongside opportunities to contribute to specialized projects. This role is an excellent chance to deepen your knowledge in auditing and financial assessment within the expanding healthcare sector, while also providing avenues for professional development and certification.

Key Responsibilities:

  • Evaluate and interpret financial data, offering recommendations for improvements based on analytical judgment.
  • Work autonomously on projects with minimal oversight from management.
  • Prepare comprehensive documentation and present findings in alignment with Government Auditing Standards (GAS) and CMS guidelines.
  • Acquire knowledge of relevant Federal laws, regulations, and auditing practices.
  • Respond promptly and accurately to inquiries from stakeholders.
  • Demonstrate effective time management and problem-solving skills while managing multiple tasks.
  • Perform duties associated with junior-level positions as directed.
  • Engage in special projects and review the work of fellow auditors as assigned.
  • Mentor less experienced team members as needed.
  • Conduct thorough desk reviews of complex cost reports.
  • Lead complex cost report audits, guiding other auditors involved in the process.
  • Depending on experience, may oversee the work of other associates.
  • Analyze financial documents and healthcare records to assess provider trial balances.

Required Qualifications:

  • A BA/BS degree coupled with a minimum of 5 years of experience in audit/reimbursement or related Medicare fields; or an equivalent combination of education and experience.
  • This position requires candidates to have resided in the United States for at least three of the past five years, as per CMS TDL 190275.

Preferred Qualifications:

  • A degree in Accounting is preferred.
  • Familiarity with CMS program regulations and cost report formats is advantageous.
  • Proficiency in CMS systems and Microsoft Office Suite, particularly Word and Excel, is highly desirable.
  • An MBA, CPA, or CIA designation is preferred.
  • Commitment to fulfilling Continuing Education Training requirements as necessary.
  • A valid driver's license and the capacity to travel may be required.

Elevance Health offers a competitive salary range and a comprehensive benefits package, including health insurance, retirement plans, and professional development opportunities. We are dedicated to fostering an inclusive workplace and ensuring equal employment opportunities for all individuals.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

AFA > Audit, Comp & Risk