Portland, Maine

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your 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. 

 

NGS Audit and Reimbursement Sr.

Locations: Indianapolis, IN; South Portland, ME; East Syracuse, NY; Richmond, VA; open to work from home for the right candidate. 

The Audit and Reimbursement Senior will support audit activities of healthcare providers’ financial and statistical records in accordance with Government Auditing Standards (GAS). The Senior Auditor will be responsible for the auditing activities associated with performing audits and desk reviews of more difficult provider cost reports as part of our Medicare Administrative Contract (MAC) with the Federal Government (The Centers for Medicare and Medicaid Services (CMS) branch of the Department of Health and Human Services as well as work on special projects as assigned. 

 

Primary duties may include, but are not limited to:

 

  • Complete the Uniform Desk Review/Audit Program on provider submitted Medicare cost reports for more complex providers
  • 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 in accordance with GAS and CMS requirements
  • Analyze and interpret data per a provider’s trial balance, financial statements, financial documents or other related healthcare records
  • Stay abreast with applicable Federal Laws, regulations, policies and audit procedures
  • Must be able to perform all duties of lower level positions as directed by management.
  • Ability to use effective communication and interaction skills
  • Ability to multi- task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skills
  • Mentor new and less experienced staff

 

 

Qualifications

Qualifications:

  •  Requires a BA/BS degree (preferably in Accounting, Finance, Business Administration, or Healthcare Management) with 5+ years of Medicare cost report experience, or 8+ years of MAC audit/reimbursement experience or related Medicare cost report experience
  • A valid driver's license and the ability to travel may be required
  • Demonstrated understanding of accounting principles, auditing theories, or math concepts obtained through formal education and/or work related experience
  • Must possess effective verbal and written communication skills  
  • Experience in Microsoft Office Word, Excel, and Outlook
  • Effective organization and time management skills
  • Effective problem solving skills
  • Excellent interpersonal skills with the ability to establish working relationships with individuals at varying levels within the organization
  • Ability to work remotely or sit onsite in one of the locations listed: Indianapolis, IN; South Portland, ME; East Syracuse, NY; Richmond, VA  

The skills/competencies listed below are preferred but not required: 

  • 8+ years of Medicare audit/reimbursement or related Medicare experience
  • Thorough knowledge of Medicare Part A Laws, regulations, program manuals and audit policies
  • Thorough knowledge of CMS computer systems
  • Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or CPA Eligible 

 

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2020 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. 

Portland, Maine

As one of America’s largest health benefits companies, we at Anthem have a profound appreciation for service. Our organization proudly supports our Nation’s active, reserve, and veteran military service members and their spouses.

This is an exciting opportunity to advance your life and career, while still protecting and serving others. Come see for yourself why Anthem is recognized as a Top Employer by GI Jobs and among the “Best of the Best: Top Veteran Friendly Companies” by US Veterans Magazine.

Who We Are Looking For 

Anthem, Inc. is seeking military veterans across the country who bring a deeply rooted skillset that includes team-oriented approaches to problem-solving, demonstrations of leadership and an overall commitment to the mission of the organization.  If you are a military veteran or military veteran spouse, Anthem, Inc. is looking to hire you.

Join Anthem's Military and Veteran Talent Network: https://anthemcareers.ttcportals.com/pages/military

Should I Apply?

Are you a transitioning member of the military or a military veteran who is looking for a civilian career that provides opportunities for growth and career advancement?  Anthem, Inc. is currently looking for job seekers with  Operations experience.  If you are interested in a career in one of these fields, check out our current open positions to the right for more information and to apply today!

What Happens After I Apply?

Once you click ‘Apply Now’ on an Anthem, Inc. job posting, you will be re-directed to fill out an application on Anthem's career page.  In order to be considered for next steps, please complete the application on Anthem's career page and make sure you have an updated resume uploaded to your RecruitMilitary profile.  Once Anthem, Inc. reviews your resume and profile, a recruiter will reach out to provide you with more information and to schedule you for an interview.

How to Win An Interview

1.     Review the job description for the specific position you are applying for.

2.     Review the company website. Know their mission and values. What do they do? What are their products?

3.     Prepare a few questions to ask on your interview.

4.     Prepare to discuss your military or civilian background and how it relates to the position. 

5.     Check out our Resources tab for resume guidance, interview prep and more!

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