Elevance Health
This listing was posted on Broadbean.
G&A Auditor II
Location:
Cincinnati, OH
Description:
G&A Auditor IILocation: This is a virtual position, the ideal candidate will live within 50 miles of the Cincinnati, Ohio FHPS office location.Federal Health Products and Services - FHPS, a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation upon which we are 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.The G&A Auditor II is responsible for post completion examination of grievances and appeals in multiple states.How you will make an impact: * Reviews case to determine applicability of, and compliance with, federal and state regulations, enterprise policies and procedures and all related accreditation standards. * Reviews case to assess whether it was appropriately handled as a clinical or administrative request and was correctly processed to avoid prompt pay penalties. * Evaluates urgency of clinical situation to assess appropriate handling, determine if sufficient records were obtained, and review medical records and medical policies to determine if correct criterion has been utilized in each review. * Reviews case documentation to assess appropriate system entries have been made and that the step-by-step process is sufficient to mitigate risk associated with regulatory reviews, accreditation reviews, and potential litigation. * Assists management in process improvement strategies to achieve business objectives. * Prepares audit findings and recommendations for G&A associates and management on a monthly basis. * Identifies and communicates error trends to improve overall quality of enterprise G&A team. * Associates at this level handle routine to complex audits and function as subject matter experts.Minimum Requirements: * Requires a BA/BS degree, a minimum of 2 years of grievance and appeals experience; or any combination of education and experience which would provide an equivalent background.Preferred Skills, Capabilities and Experiences: * FHPS claims and customer service experience is preferred. * FHPS requirements, processes and systems knowledge preferred. * Excellent oral and written communications skills. * Exceptional organization and time management skills. * Critical thinking and problem solving skills. * Comfortable giving and receiving feedback.Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.
Company:
Elevance Health
Posted:
November 13 on Broadbean
Visit Our Partner Website
This listing was posted on another website. Click here to open: Go to Broadbean
Important Safety Tips
- Always meet the employer in person.
- Avoid sharing sensitive personal and financial information.
- Avoid employment offers that require a deposit or investment.
To learn more, visit the Safety Center or click here to report this listing.
More About this Listing: G&A Auditor II
G&A Auditor II is a Accounting & Finance Auditor Job at Elevance Health located in Cincinnati OH. Find other listings like G&A Auditor II by searching Oodle for Accounting & Finance Auditor Jobs.
G&A Auditor II is a Accounting & Finance Auditor Job at Elevance Health located in Cincinnati OH. Find other listings like G&A Auditor II by searching Oodle for Accounting & Finance Auditor Jobs.