Audit & Reimbursement III

National Government Services; Collamer (NY); Remote; USD 61,000 - 103,000; Full time

Job summary

A healthcare consulting firm is seeking an Audit & Reimbursement III professional to support Medicare audits. The role offers full-time virtual work with a focus on financial analysis, data interpretation, and auditing practices. Candidates should have a BA/BS degree and at least 5 years of related experience. Competitive salary range is $61,560 to $102,060, along with benefits.

Benefits

Comprehensive benefits package

401(k) with match

Incentive programs

Qualifications

• 5+ years of audit/reimbursement or related Medicare experience.
• Ability to interpret financial documents accurately.
• Knowledge of CMS program regulations preferred.

Responsibilities

• Analyze and interpret data for recommendations.
• Prepare detailed work papers as per Government Auditing Standards.
• Participate in special projects as assigned.

Skills

Data analysis

Independent work

Time management

Communication

Problem-solving

Education

BA/BS degree

Tools

Microsoft Excel

Microsoft Word

Job description

Audit & Reimbursement III

Locations: NY-EAST SYRACUSE, 5000 BRITTONFIELD PKWY, STE 100; TX-DENISON, 4616 HIGHWAY 75, STE 240; MD-BALTIMORE, 2245 ROLLING RUN DR, STE 9; WI-Waukesha, N17W24222 Riverwood Dr., Ste 300; IN-INDIANAPOLIS, 220 VIRGINIA AVE

Anticipated End Date: 2025-10-14

Position Title: Audit & Reimbursement III

Job Description:

Audit & Reimbursement III- Medicare Cost Report Audit

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.

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.

The Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (CMS, DHHS). Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement. They will participate in contractual audit and reimbursement workload and have opportunities to participate on special projects. This position provides a valuable opportunity to gain further experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities.

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.

Note: Some sections include policy and governance language relevant to government-related roles. This content is retained as provided.

For candidates working in person or virtually in the location(s) below, the salary range for this position is $61,560 to $102,060.

Locations: Maryland, Minnesota, Nevada, and New York

In addition to salary, Elevance Health offers a comprehensive benefits package, including incentive programs, 401(k) with match, and other benefits subject to eligibility. The salary is determined by legitimate, non-discriminatory factors and is subject to change based on location, experience, and skill.

Job Level: Non-Management Exempt

Work shift: 1st Shift (United States of America)

Job Family: AFA > Audit, Comp & Risk

Elevance Health is an Equal Employment Opportunity employer. Applicants who require accommodation to participate in the job application process may contact [e-mail] for assistance.

About Us

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

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