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Role Snapshot Our Senior Cost Report Auditor completes 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 in the Medicare Cost Report. This role has a direct impact on confirming the US Tax funded Medicare program is working efficiently and cost effective. Salary Range $64,000 $75,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.

As a Senior level auditor, you will: Lead completion of Desk Reviews and Audits of Medicare cost reports, including complex issues with large dollar reimbursement impact. Prepare audit adjustment reports and detailed work papers in accordance with Government Auditing Standards and Centers for Medicare and Medicaid Services (CMS) requirements, during review, analysis, and audit/desk review of provider 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. Assist in training and advisement of Auditor work. Defend reimbursement or audit decisions made during desk review or audit. How do I know this opportunity is right for me? If you: Enjoy working independently. 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. What will I gain from this role? Work experience with a management team that is committed to maintaining a high performing work culture. Working remotely in the comfort of your home - no driving time, gas costs, or wear and tear on your vehicle. Ability to train and mentor other team members. Experience working in an environment that serves our Nation's military, veterans, Guard and Reserves and Medicare beneficiaries. 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. 2 or more years of related work experience as a Cost Report Auditor working on CMS contracts.

Preferred Qualifications 5 or more years of experience in a Medicare Audit or Reimbursement role. Experience as a Cost Report Auditor at WPS Health Solutions. Accounting or Finance background. Medicare Cost Report Experience. Healthcare Experience. Accounting or Finance background. 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 states: 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 fo 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 people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition Sign up for Job Alerts