23 Sep
Audit & Reimbursement Sr
California, Glendale 00000 Glendale USA

Vacancy expired!

Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent. Our Vision. At National Government Services (NGS), an independent subsidiary of Anthem,

Inc. and one of the largest Medicare contractors in the country, it’s a powerful combination.

It’s the foundation upon which we’re creating greater access to care for

our members, greater value for our customers and greater health for our

communities. Join us and together we will drive the future of health care.This is an exceptional

opportunity to do innovative work that means more to you and those we

serve. Audit & Reimbursement Sr –

PS39490Responsible for coordinating

all activities of an audit or reimbursement team in the initiation and

completion of assignments which includes acceptance, tentative settlements,

interim rate reviews, completion of the desk audit review, field audit or in-house

audit, and the settlement process of the CMS cost reports. Primary duties may include,

but are not limited to:

Perform audit work

on complex audits.

Evaluate the work

performed by the audit staff to assess the technical accuracy and accuracy of

work papers and financial data related to the cost report.

Review of wage

index, MSP audits, complex exception requests and CMS change requests. Assist

the leads and managers in training and development of the staff on current CMS

regulations.

Will support the

Appeal Unit with appeal issues as assigned.

Participates in

special projects and review of work done by lower level auditors as assign.

Analyzes and

interprets data and makes recommendations for change based on their judgment

and experience.

Must be able to

perform all duties of lower level positions as directed by management.

Provides oversight and leadership of the Part

A provider enrollment function as needed.

Qualifications Requirements:

Requires a BA/BS

degree, preferrably in accounting; 8+ years of audit/reimbursement or related

Medicare experience; thorough knowledge of CMS program regulations and cost

report format; excellent knowledge of CMS computer systems and Microsoft Office

Word and Excel; or any combination of education and experience which would provide

an equivalent background. Must obtain Continuing Education Training

requirements. MBA, CPA, CIA or CFE preferred. Demonstrated leadership

experience preferred. A valid driver's license and the ability to travel may be

required.

Anthem, Inc. is ranked as one of

America’s Most Admired Companies among health insurers by Fortune magazine and

is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more

about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity

Employer/Disability/Veteran.REQNUMBER: PS39490

Vacancy expired!


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