Audit & Reimbursement III

Audit And Reimbursement III

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid / virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. 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.

How You Will Make An Impact

Analyzes and interprets data and makes recommendations for change based on judgment and experience. Able to work independently on assignments and under minimal guidance from the manager. 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. Must be able to perform all duties of lower-level positions as directed by management. Participates in special projects and review of work done by auditors as assigned. Assist in mentoring less experienced associates as assigned. Perform complex cost report desk reviews. Perform complex cost report audits, serving as an in-charge auditor assisting other auditors assigned to the audit. Dependent upon experience, may perform supervisory review of work completed by other associates. Analyze and interpret data per a provider's trial balance, financial statements, financial documents, or other related healthcare records.

Minimum Requirements

Requires a BA / BS degree and a minimum of 5 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 Skills, Capabilities, and Experiences

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. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and / or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

Locations

Maryland, Minnesota, Nevada, Massachusetts and New York

Salary Range

The salary range for this specific position is $61,560 to $102,060.