Remote Medicare Audit & Reimbursement Lead
Elevance Health
Elevance Health is seeking an Audit & Reimbursement Lead to oversee the Medicare Administrative Contract audit operations. This role requires strong technical leadership, ensuring compliance with CMS regulations while mentoring and supervising associates. The ideal candidate will have extensive experience in audit and reimbursement within Medicare, with a minimum of 8 years in a relevant role. The position offers benefits including merit increases, medical coverage, and 401(k) matching. #J-18808-Ljbffr
Vacancy posted 7 hours ago
Similar jobs that could be interesting for youBased on the Remote Medicare Audit & Reimbursement Lead in Louisville, KY vacancy
- ...Elevance Health is looking for an Audit & Reimbursement Lead to support our Medicare Administrative Contract with CMS. This role will be responsible for ensuring compliance with audit guidelines, providing training, and analyzing Medicare cost reports. The ideal candidate...Remote workReimbursementContract work
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Wilmington, DE1 day ago - ...Elevance Health is hiring an Audit & Reimbursement Lead responsible for providing technical leadership and supervision on Medicare contracts. You will ensure compliance, train associates, and handle complex case research. Qualified candidates should have a BA/BS degree...Remote workReimbursementWork at office
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Grand Prairie, TX1 day ago - ...Elevance Health is seeking an Audit & Reimbursement Lead to support its Medicare Administrative Contract. This role involves supervising associates, ensuring compliance, and providing technical leadership in Medicare reimbursement. Candidates must have a BA/BS degree...Remote workReimbursementContract work
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Cincinnati, OH7 hours ago - ...Elevance Health is seeking an Audit & Reimbursement Lead to provide technical leadership and oversight for Medicare contracts. Candidates must have extensive experience in audit/reimbursement with a BA/BS degree and at least 8 years in the field. You will review work,...Remote workReimbursement
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Durham, NC2 days ago - ...Elevance Health seeks an Audit & Reimbursement Lead to support Medicare contracts with technical leadership and supervision. The role involves ensuring compliance with guidelines, providing training to associates, and handling complex case research. Located virtually...Remote workReimbursement
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Winston Salem, NC1 day ago - ...Elevance Health seeks an Audit & Reimbursement Lead to support Medicare contracts. This role includes reviewing work for compliance, mentoring associates, and analyzing data. The candidate should have at least 8 years of relevant experience and be capable of making complex...Remote workReimbursement
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Tampa, FL7 hours ago - ...Elevance Health is seeking an Audit & Reimbursement Lead to support our Medicare Administrative Contract. This role managing the Medicare cost report and reimbursement involves supervising associates and requires extensive knowledge of CMS regulations. The ideal candidate...Remote workReimbursementContract work
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Indianapolis, IN3 days ago - ...Elevance Health is seeking an Audit & Reimbursement Lead based in Richmond, Virginia. This role will oversee auditing tasks related to Medicare contracts and support compliance with CMS regulations. Candidates are encouraged to apply if they meet the necessary qualifications...Remote workReimbursementFull time
Elevance Health
Richmond, VA3 days ago - A leading health organization is seeking an Audit & Reimbursement III professional to support Medicare contracts. This role offers remote work flexibility with a focus on auditing and financial analysis within a growing sector. Candidates will analyze data, prepare audits...Remote jobReimbursement
- Audit & Reimbursement III Location:_ _This role enables associates to work virtually full-time, except... ...administer government contracts for Medicare and partner with the Centers for... ...allows for educational opportunities leading to certifications and promotes a well-...Remote jobReimbursementFull timeContract workTemporary workInterim roleWork at officeLocal area1 day per week
$72k - $108k
..., REDW is the place to do it! Senior Audit Associate What You'll Do Builds... ...PTO + 10 holidays Monthly wellness reimbursement Growth & Development Learning platform... ...Ongoing development resources Remote Support ~$150 annual WFH allowance...Remote workReimbursementWork experience placementWork from homeFlexible hoursREDW
Oklahoma City, OK3 days ago$122 per hour
...) Up to $122/hour Fully Remote or In-Person Flexible Schedule... ...taking insurance, leading to higher reimbursement rates and fast credentialing... ...Stay protected with built-in audit support and ongoing compliance... ...major plans, including Medicare Advantage and Medicaid....Remote workReimbursementBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hoursHeadway
Hempstead, NY7 hours ago$130k - $150k
...page! Job details FULLY REMOTE This Jobot Job is hosted by... .../ FSA options ~ Tuition Reimbursement ~ CPA Exam Reimbursement... ...Details Hiring an experienced Audit Manager to join our growing Healthcare... ..., ensure satisfaction, and lead change efforts effectively....Remote workReimbursementFull timeSummer workLocal areaWork from homeHome officeWeekend workJobot
Orlando, FL2 days ago$101.94k - $116.57k
...Excellence awards in Compensation, Remote Work, and Formal Training categories. The Audit and Assurance Manager provides... ...wellness, offering monthly reimbursements for expenses like gym memberships... ...of perspectives and backgrounds leads to further innovation and success...Remote workReimbursementWork from homeHome officeFlexible hoursREDW Advisors & CPAs
Albuquerque, NM2 days ago- ...strategic Director of Post-Pay Audit to lead our medical revenue recovery... ...and government payers (Medicare, Medicaid, TRICARE, etc.) ,... ...deep knowledge of healthcare reimbursement policies, government audit programs... ...employment laws for remote and multi-state hiring and provides...Remote workReimbursementLocal area
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Cooper, FL2 days ago - To support a growing Revenue Integrity team, the full‑time remote Charge Audit Specialist will establish and maintain charge capture processes, conduct audits, and ensure compliance to maximize reimbursement for hospital services. Key Responsibilities: Independently perform...Remote workReimbursementFull time
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United States3 days ago - Manager, Post-Pay Audit Job Summary: We are seeking a... ...Post-Pay Audit Manager to lead a team of auditors performing... ...a solid understanding of Medicare, Medicaid, and other payer reimbursement requirements. This... ...lead role, preferably with remote or offshore team management...Remote workReimbursement
$130k - $150k
FULLY REMOTE - Audit Manager - Healthcare This range is provided by Jobot. Your actual pay will... ...with HSA / FSA options Tuition Reimbursement CPA Exam Reimbursement Certification Reimbursement... ...expectations, ensure satisfaction, and lead change efforts effectively. Research...Remote jobReimbursementFull timeSummer workLocal areaWork from homeHome officeWeekend work- We are seeking an Audit Manager or Audit Supervisor to be an integral part of our audit... .... We can offer a position with remote work flexibility, challenge, growth potential... ...Health, life and insurances plus Health Reimbursement Arrangement (HRA) 40+ hours of CPE provided...Remote workReimbursementWork at officeWork from homeFlexible hoursWeekend work2 days per week
$35 - $45 per hour
...transformative change in healthcare. Inpatient Auditing Specialist You will be instrumental in... ...workflow operations reviews. This fully‑remote role offers a flexible schedule,... ...and hospital staff regarding clinical and reimbursement issues. Function in a professional, efficient...Remote workReimbursementHourly payFull timeInterim roleRelocation packageFlexible hours$79.2k - $143.4k
...may have the ability to work remotely. DESCRIPTION UC San Diego Health... ...Charge Reconciliation and Audit Specialist is responsible for... ...and achieves maximum reimbursement for hospital and professional... ...knowledge of NCCI edits, and Medicare LCD/NCDs. Comprehensive understanding...Remote jobReimbursementHourly pay- A healthcare solutions company is seeking a Provider Audit and Reimbursement Lead to manage Medicare cost report audits. The role requires a Bachelor’s degree... .... This full-time position offers the potential for remote work, contributing to transformative healthcare...Remote jobReimbursementFull time
$35 - $45 per hour
...Datavant is trusted by the world’s leading life sciences companies,... .... Role As an Inpatient Auditing Specialist you will be instrumental... ...issues. This role is fully remote with a flexible schedule, allowing... ...staff regarding clinical and reimbursement issues. Function in a...Remote workReimbursementHourly payFull timeInterim roleRelocation packageFlexible hours- PROVIDER AUDIT AND REIMBURSEMENT – LEAD AUDITOR (CMS) - REMOTE ARC Group has an immediate opportunity for a Provider Audit and Reimbursement Lead Auditor... ...Reimbursement Lead utilizes advanced knowledge of Medicare laws, regulations, instructions from the Centers for...Remote workReimbursementPermanent employmentWork experience placementInterim roleWork at officeImmediate start
$35 - $45 per hour
...on Bonus ** As an Inpatient Auditing Specialist you will be... ...issues. This role is fully remote with a flexible schedule, allowing... ...validating DRGs specific to Medicare and Medicare Managed Care. Interest... ...regarding clinical and reimbursement issues. Function in a...Remote workReimbursementHourly payFull timeContract workInterim roleRelocation packageFlexible hours- ...you’ll have the opportunity to lead, innovate, and contribute to... ...in-office work and 1 day of remote work. This is subject to change... ...capabilities Confirm reimbursement based on contracted rates and... ...Review and identify legal and audit risks that may occur based on...Remote workReimbursementWeekly payWork at office
$56.96k - $89.71k
...Elevance Health is seeking an Audit and Reimbursement II team member in Indianapolis, Indiana. This virtual position involves performing cost report desk reviews, assisting with audits, and preparing detailed findings in line with CMS requirements. Candidates should have...Remote workReimbursementElevance Health
Indianapolis, IN2 days ago- ..., Wednesdays, Thursdays; remote other days. The Auditing & Monitoring Program Supervisor... ..., this position leads the internal auditing and... ...PowerPoint Familiarity with Medicare, State Medicaid and... ...commercial insurance billing and reimbursements as related to DME...Remote workReimbursementTemporary workWork at office
$71.1k - $97.8k
...hospital claims for proper reimbursement, handle provider... ...an impact WORK STYLE: Remote/work at home. While this... ...years) MS-DRG coding/auditing experience Experience... ...it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals...Remote workReimbursementBi-weekly payContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayHumana
Oklahoma City, OK2 days ago
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