Audit & Reimbursement Lead
Company: Anthem, Inc.
Posted on: June 10, 2021
SHIFT: Day Job
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.
NGS Locations: Richmond,VA
South Portland, ME
Syracuse NY or this position could be Remote.
Audit & Reimbursement Lead
Responsible for providing technical direction, workload
planning, associate mentoring and operational support on a
Primary duties may include, but are not limited to:
- Reviews work of the associates to ensure they are following the
appropriate guidelines, provides training both in a formal and
informal setting, reviews the policies and procedures to make sure
they are appropriate, and monitors workload inventory to ensure
- Participates in special projects and review of work done by
lower level auditors.
- Analyzes and interprets data and makes recommendations for
change based on their judgment and experience. Able to work
independently on assignments and under minimal guidance from the
- Monitors inventory to ensure workflow remains
- Assists management with workload and financial budget
- Must have extensive knowledge of CMS principles, law and
regulations. Works with management on interaction with internal and
external audits and performance measures.
- Assists in ISO certification activities.
- Must be able to perform all duties of lower level positions as
directed by management.
BA/BS degree, preferably in Accounting; 8 + years
audit/reimbursement or related Medicare experience; previous
experience at a Senior Auditor level in health care, public
accounting or a government agency; experience in software used to
file and finalize cost reports; experience with paperless audit
software applications; demonstrated leadership experience; through
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. MBA, CPA, CIA or CFE
preferred. Must obtain Continuing Education Training requirements
(where required). 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 2019
DiversityInc magazine Top 50 Company for Diversity. To learn more
about our company and apply, please visit us at
antheminc.com/careers. An Equal Opportunity
Keywords: Anthem, Inc., Syracuse , Audit & Reimbursement Lead, Other , Syracuse, New York
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