Audit & Reimbursement II

Audit & Reimbursement II

Location:

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. 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.

• Analyze and interpret data and make recommendations for change based on judgment and experience.
• 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.
• Multi-task while independently and effectively prioritizing work using time management, initiative, project management, and problem‑solving skills.
• Perform cost report desk reviews.
• Assist on cost report audits; may serve as an in‑charge auditor on less complex audits or perform supervisory review on work completed by other associates.
• Analyze and interpret data per a provider’s trial balance, financial statements, financial documents, or other related healthcare records.
• Perform cost report reopenings.

• BA/BS degree in Finance/Accounting/Business or any combination of education and related experience providing an equivalent background.
• Foreign national applicants must meet the residency requirement of living in the United States at least three of the past five years.

• 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.

Locations: Nevada, Minnesota, Maryland, Massachusetts, Columbus, Ohio and New York

Salary Range: $53,580 to $88,830

In addition to salary, benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution.

Vaccination against COVID‑19 and Influenza is required.

Certain positions may require additional background checks and clearances beyond those for non‑Government Business Division employees.

Elevance Health is 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.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.