Audit & Reimbursement II

Audit & Reimbursement II at Elevance Health

Base pay range: $53,580.00/yr – $88,830.00/yr

Location: This role enables associates to work virtually full-time, with the exception of required in‑person training sessions. 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.

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

• 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.
• Ability to multi‑task while independently 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 depending upon experience; may perform supervisory review on work completed by other associates.
• Analyze and interpret data per a provider's trial balance, financial statements, and related healthcare records.
• Perform cost report reopenings.

• Requires a BA/BS degree in Finance, Accounting, Business or an equivalent combination of education and related experience.
• Foreign national applicants must meet the residency requirement of living in the United States for at least three of the past five years (per CMS TDL 190275).

• 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.
• Valid driver's license and ability to travel may be required.

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 protected status. 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 the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

All other details such as benefits, compensation nuances, and corporate information have been omitted for brevity but are available upon request.