ClearwaterRecruiter Since 2001
the smart solution for Clearwater jobs

NGS Audit & Reimbursement Lead-Office Based or Remote

Company: Anthem, Inc
Location: Clearwater
Posted on: February 13, 2020

Job Description:

NGS Audit & Reimbursement Lead-Office Based or Remote (PS33133)Location: Indianapolis, Indiana, United StatesNewRequisition #: PS33133Post Date: 4 days agoYour Talent. Our Vision. At National Government Services (NGS) , an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country, its a powerful combination. Its the foundation upon which were 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 LeadThis position has the ability to work remotely or can be located in: Indianapolis, IN; South Portland, ME; East Syracuse, NY; Richmond, VAAudit & Reimbursement Lead position is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.The Audit and Reimbursement Lead will support audit activities of healthcare providers financial and statistical records in accordance with Government Auditing Standards (GAS). The Lead 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:

  • Responsible for providing technical direction, workload planning, associate mentoring and operational support on a day-to-day basis
  • Evaluate the work performed by the audit staff to assess the technical accuracy and accuracy of work papers and financial data related tothe cost report in accordance with GAS and CMS requirements
  • Responsible for the more skilled auditing activities associated with performing regulatory, contractual, and operational audits
  • Handles complex case research and resolutions
  • Stay abreast with applicable Federal Laws, regulations, policies and audit procedures
  • Assists management with workload and financial budget responsibilities
  • Monitors inventory to ensure workflow remains uninterrupted
  • Ability to use effective communication and interaction skills
  • Mentor new and less experienced staff
  • Works with management on interaction with internal and external audits and performance measures
  • Must be able to perform all duties of lower level positions as directed by managementQualifications:
    • Requires a BA/BS degree (preferably in Accounting, Finance, Business Administration, or Healthcare Management) with 8+ years of Medicare cost report experience, previous experience at a Senior Auditor level in health care, public accounting or a government agency.Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or CPA Eligible preferred
    • Demonstrated leadership 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
    • Open to remote or will sit onsite in: Indianapolis, IN; South Portland, ME; East Syracuse, NY; Richmond, VA; open to remote.Anthem, Inc. is ranked as one of Americas 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.

Keywords: Anthem, Inc, Clearwater , NGS Audit & Reimbursement Lead-Office Based or Remote, Administration, Clerical , Clearwater, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Administration, Clerical Jobs


Administrative Assistant
Description: Location: Orlando, FL br br Overview: br br TLC Engineering Solutions is a dynamic and growing National Engineering firm seeking a qualified and motivated Administrative Assistant, to join our (more...)
Company: TLC Engineering Solutions
Location: Orlando
Posted on: 02/29/2020

W2 job - ServiceNow ITSM Admin in St. Petersburg, FL
Description: INTERVIEW MODE: 1 Phone, then 1 video to hire or on-site if candidate is local . TITLE: ServiceNow ITSM Administrator NUMBER OF OPEN POSITIONS: 1 DURATION: 6 month contract to hire LOCATION: St. Petersburg, (more...)
Company: 1 Points System LLC
Location: Saint Petersburg
Posted on: 02/29/2020

Pega Admin
Description: Role: Pega Admin Location: Tampa, FL Client: JP Morgan Chase Visa: H1B, USC, GC Job Description: This resource will act as a Primary Administrator and Support for Pega PRPC application administrator. (more...)
Company: N2 Services Inc
Location: Tampa
Posted on: 02/29/2020


Database Admin
Description: Description Expert SQL skills required to leverage and analyze CRM data to improve guest experiences across all channels, while ensuring data accuracy is accounted for when including the data from the (more...)
Company: Robert Half
Location: Orlando
Posted on: 02/29/2020

Administrative Assistant
Description: With a culture of recognition and reputation for excellence, ELS is the ideal organization in which to develop a long and successful career ELS is hiring for the position of Administrative Assistant in (more...)
Company: Equity Lifestyle Properties
Location: Clearwater
Posted on: 02/29/2020

Front Office Coordinator
Description: Here is your opportunity to join one of the top therapy providers in the US. TMC was founded in 1995 and provides physical, occupational, and speech therapy services throughout the US. TMC is committed (more...)
Company: Therapy Management Corporation
Location: Oviedo
Posted on: 02/29/2020

Executive Admin & Facilities Manager
Description: Company DescriptionNextech Awarded Tampa Bay Technology Company of the Year at the 14th Annual Tampa Bay Tech Awards and nominated for Best Workplace Culture. br br Headquartered in Tampa, FL, (more...)
Company: NexTech Systems
Location: Tampa
Posted on: 02/29/2020

Senior Program / Administrative Support
Description: Job Title: Senior Program / Administrative Support Job Location: MacDill AFB, FL Salary: Competitive, Depends on Qualifications Clearance: Top Secret / SCI TS/SCI Travel: Up to 25 CONUS and OCONUS (more...)
Company: People, Technology & Processes
Location: Tampa
Posted on: 02/29/2020

Client Coordinator (Receptionist)
Description: If your true calling is to make other people's day, we want to hear from you As the Client Coordinator of our firm, every interaction you have is an opportunity to carry out our mission of creating and (more...)
Company: Faehner PLLC
Location: Clearwater
Posted on: 02/29/2020

Pega Admin
Description: Sensiple Inc., service offerings include contingent Staff Augmentation of IT professionals, Permanent Recruiting and Temp-to-Hire. In addition, our industry expertise and knowledge within financial services, (more...)
Company: Sensiple Inc.
Location: Tampa
Posted on: 02/29/2020

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Clearwater RSS job feeds