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SCA Quality Assurance Auditor I
2 months ago
SCA Quality Assurance Auditor I
Location: This is a remote position, and the ideal candidate should reside within 50 miles of designated Elevance Health office locations.
Compensation: The salary for this role varies by location and is determined by government standards, thus is non-negotiable.
The pay structure is as follows:
- Harrisburg, PA- $21.70
- Denison, TX- $21.70
- Hingham, MA- $23.99
- South Portland, ME- $21.70
- Syracuse, NY- $22.85
About Us: National Government Services, a proud member of Elevance Health's family of brands, manages government contracts for Medicare and collaborates with the Centers for Medicare and Medicaid Services to enhance federal health programs.
Role Overview: The SCA Quality Assurance Auditor I is tasked with reviewing and assessing the precision of transactions in alignment with regulatory standards and organizational protocols.
Key Responsibilities:
- Identify and report transaction discrepancies promptly to facilitate swift resolution.
- Utilize extensive knowledge across various domains, performing basic functions under general supervision.
- Review and assess the accuracy of transactions on a prepayment basis by examining policies, procedures, and manual entries in accordance with established guidelines.
- Monitor and analyze audit outcomes, providing insights to management.
- Compile monthly reports detailing audit findings, assist clients with identified issues, and prepare reports for management's informational needs.
- Generate additional reports as requested by internal and external stakeholders.
Minimum Qualifications:
- High School diploma or equivalent; 9 months to 1 year of relevant experience; or a combination of education and experience that provides a comparable background.
- This position is part of our NGS division, which requires foreign national applicants to meet the residency requirement of having lived in the United States for at least three of the past five years.
Preferred Qualifications:
- Prior experience with Appeals is highly desirable.
Additional Information: Elevance Health offers a comprehensive benefits package, including incentive programs, equity stock purchase options, and 401k contributions (subject to eligibility requirements). The salary for this position is based on various legitimate, non-discriminatory factors set by the company, ensuring equal pay opportunities for equal work across all demographics.
The salary range represents the company's good faith estimate of potential compensation for this role at the time of posting. This range may be adjusted in the future, and actual compensation may vary based on geographic location, work experience, education, and skill level. Compensation is only considered earned once it is vested and determinable under applicable policies and plans.
