Senior Medicare Audit & Reimbursement Specialist (Remote)

Elevance Health; Wilmington (DE); Hybrid; USD 75,000 - 95,000; Full time

Benefits offered by this job

Wellpoint Federal division experience

Job summary

Elevance Health is seeking an Audit & Reimbursement III for its Wellpoint Federal division to support the Medicare Administrative Contract with CMS. The role offers flexible virtual work with required in-person training, and opportunities to work on cost reports, audits, and regulatory compliance under supervision.

Ideal candidates have a BA/BS and 3+ years in Medicare audit/reimbursement or related experience, with the ability to analyze data, prepare work papers, and mentor junior staff as

Qualifications

• BA/BS degree and at least 3 years of Medicare audit or reimbursement experience.
• Experience with cost reports and CMS requirements preferred.

Responsibilities

• Analyze data and interpret findings to support recommendations.
• Prepare work papers and present findings per GAS/CMS requirements.
• Assist in audits, cost reports, and related reviews as directed.
• Mentor and supervise junior staff when needed.

Education

BA/BS degree

Job description

Elevance Health is seeking an Audit & Reimbursement III for its Wellpoint Federal division to support the Medicare Administrative Contract with CMS. The role offers flexible virtual work with required in-person training, and opportunities to work on cost reports, audits, and regulatory compliance under supervision.

Ideal candidates have a BA/BS and 3+ years in Medicare audit/reimbursement or related experience, with the ability to analyze data, prepare work papers, and mentor junior staff as