Description

Role Snapshot Our Cost Report Auditors complete audits and desk reviews in accordance with government requirements for Centers for Medicare & Medicaid Services (CMS) to ensure accurate reporting of statistical and financial data reported on Medicare Cost Report. This role has a direct impact on confirming the US Tax funded Medicare program is working efficiently and is cost effective. Start Date in February 2025 Salary Range $47,000-$51,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may fall outside the posted range. We ARE open to negotiation and consideration of experience, specifically experience with Medicare Audits. As an auditor, you will: Lead and participate in completing Uniform Desk Review/Audit Program within interim and monthly production goals. Prepare audit adjustment reports and detailed sets of work papers based on Government Auditing Standards and CMS requirements, analysis, and audit/desk review of provider's cost report. Analyze expense and revenue data for reasonableness and compliance, review provider pricing policies for consistency in charges, and examine statistical data for cost allocations. Participate in work groups, providing input on work paper guidelines, techniques, and requirements. Work with and learn current CMS regulations and WPS audit procedures. Defend reimbursement or audit decisions made during desk review and audit based on documented regulations. How do I know this opportunity is right for me? If you: Thrive in a fast-paced environment that is deadline driven. Are extremely detailed oriented and can identify inaccuracies easily. Feel comfortable defending your decisions with data and facts. Excel at math and problem solving. Want to work in an environment with strong work life balance with flexible work hours. Are interested in working remotely in the comfort of your home - no driving time, gas costs, or wear and tear on your vehicle. What will I gain from this role? Work experience with a management team that is committed to maintaining a high performing work culture. Learn basic auditing principles that can spark career growth. A thorough introduction to healthcare reimbursement. Working remotely in the comfort of your home - no driving time, gas costs, or wear and tear on your vehicle. Experience in an environment that serves our Nation's military, veterans, Guard and Reserves along with their families. In addition, we also serve Medicare beneficiaries and providers. Working in a continuous performance feedback environment. Minimum Qualifications Bachelor's Degree in related field or equivalent post high school and/or related work experience. Experience with Accounting or Finance in a corporate environment. Preferred Qualifications Bachler's degree in Accounting or Finance background. Demonstrated understanding of accounting principles, auditing theories, or math concepts obtained through formal education and/or work-related experience. Medicare Cost Report experience. Healthcare experience.

Remote Work Requirements Wired (ethernet cable) internet connection from your router to your computer High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net) Please review Remote Worker FAQs for additional information Work Location We offer remote work in the following approved : Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, T Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Employee Resource Groups Professional and Leadership Development Programs Review additional benefits: (https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml) Who We Are WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than 75 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforce-both current and future-to effectively seek, leverage, and include diverse perspectives that fuel agility and innovation on high-performing teams. This results in