Audit & Reimbursement Senior (Remote - US)

This position is posted by Jobgether on behalf of Elevance Health. We are currently looking for an Audit & Reimbursement Senior in the United States.

This senior-level role plays a critical part in supporting Medicare Administrative Contracts by managing complex audits and reimbursement processes. You will independently evaluate reimbursement accuracy, lead review activities, and collaborate with cross-functional teams to ensure compliance with federal regulations. This position offers a flexible work environment with virtual work options and opportunities for professional development, including certifications and networking within the healthcare industry. It provides a balance of autonomy and teamwork while contributing to the integrity of healthcare financial operations.

Accountabilities:

• Conduct detailed audits and reimbursement reviews for Medicare Part A, including cost reports and complex areas such as Medicare DSH and wage index.
• Prepare comprehensive work papers and present findings in accordance with Government Auditing Standards and CMS guidelines.
• Support and mentor junior associates, assisting with their training and development.
• Participate in workgroup initiatives to improve quality, efficiency, and standard operating procedures.
• Collaborate with management to ensure adherence to audit protocols and compliance requirements.
• Lead supervisory review of cost report audits and ensure accuracy in reimbursement decisions.
• Engage in team meetings, training sessions, and special projects as assigned.

• Bachelor’s degree required; preferred fields include accounting, finance, or related disciplines.
• Minimum of 8 years of audit, reimbursement, or related Medicare experience.
• Strong knowledge of CMS program regulations, Medicare cost report formats, and auditing standards.
• Proficiency with Microsoft Office, especially Word and Excel; familiarity with CMS computer systems preferred.
• Ability to work independently with minimal supervision.
• Strong analytical, communication, and leadership skills.
• Continuing education and certifications (MBA, CPA, CIA, or CFE) preferred.
• Must meet residency requirements and be able to travel occasionally as needed.
• Must comply with sensitive position requirements including background checks and data handling protocols.

• Flexible virtual work arrangement with essential in-person training sessions.
• Competitive salary range from $73,720 to $122,220 depending on location and experience.
• Comprehensive benefits package including medical, dental, vision, and disability insurance.
• 401(k) plan with company match and incentive/recognition programs.
• Paid time off, holidays, and wellness programs.
• Opportunities for professional growth and continuing education.
• Supportive work-life balance within a hybrid workforce strategy.

Jobgether is a Talent Matching Platform that partners with companies worldwide to efficiently connect top talent with the right opportunities through AI-driven job matching.

When you apply, your profile goes through our AI-powered screening process designed to identify top talent efficiently and fairly.

🔍 Our AI evaluates your CV and LinkedIn profile thoroughly, analyzing your skills, experience and achievements.
📊 It compares your profile to the job’s core requirements and past success factors to determine your match score.
🎯 Based on this analysis, we automatically shortlist the 3 candidates with the highest match to the role.
🧠 When necessary, our human team may perform an additional manual review to ensure no strong profile is missed.

The process is transparent, skills-based, and free of bias — focusing solely on your fit for the role. Once the shortlist is completed, we share it directly with the company that owns the job opening. The final decision and next steps (such as interviews or additional assessments) are then made by their internal hiring team.

Thank you for your interest!

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