
1001 - 5000 employees
Founded 1965
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Palmetto GBA is one of the nation's largest providers of high-volume Medicare claims and transaction processing, contact center operations, and technical services for federal healthcare programs and commercial customers. The company serves as a Medicare Administrative Contractor (MAC) and supports enrollment, claims adjudication, provider and beneficiary services, specialized programs (e. g. , DMEPOS, Home Health & Hospice, Railroad Medicare), pricing and coding analysis, and third-party administrator functions. Headquartered in Columbia, South Carolina, Palmetto GBA operates across multiple Medicare jurisdictions and is part of the Celerian Group.
🔥 12 hours ago
🏈 Alabama, Colorado, +26 more states – Remote
💵 $65.5k - $130.7k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor
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1001 - 5000 employees
Founded 1965
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Palmetto GBA is one of the nation's largest providers of high-volume Medicare claims and transaction processing, contact center operations, and technical services for federal healthcare programs and commercial customers. The company serves as a Medicare Administrative Contractor (MAC) and supports enrollment, claims adjudication, provider and beneficiary services, specialized programs (e. g. , DMEPOS, Home Health & Hospice, Railroad Medicare), pricing and coding analysis, and third-party administrator functions. Headquartered in Columbia, South Carolina, Palmetto GBA operates across multiple Medicare jurisdictions and is part of the Celerian Group.
• Supervise receipt, review, and settlement of Medicare cost reports, ensuring CMS requirements are met • Perform supervisory review of audit work papers for compliance with CMS and government auditing standards • Review cost report acceptances and desk reviews for timeliness and CMS compliance • Plan, monitor, and budget team assignments; evaluate and report results • Review settlement packages for compliance with CMS standards • Develop audit staff through on-the-job and formal training • Research issues and respond promptly to provider and CMS requests
• Bachelor's in a job related field • 5 years auditing or accounting experience including 1 year in a leadership role or equivalent military experience in grade E4 or above • Knowledge of cost accounting standards and Generally Accepted Accounting Principles • Knowledge and use of auditing standards and statistical sampling techniques • Knowledge of the principles and practices of auditing • Ability to analyze and determine the applicability of financial data • Ability to gather information by examining records and documents and to interview individuals • Strong planning, organization, human relations, interpersonal, and communication skills • Ability to work professionally with persons at all levels and maintain effective working relationships • Ability to handle sensitive matters confidentially • Ability to make presentations and apply critical thinking skills • Knowledge of provider reimbursement review board • Ability to interpret and implement changes to the Medicare program • Thorough understanding of Uniform Contractor Evaluation Program guidelines • Ability to adapt to a changing environment and make sound decisions • Microsoft Office proficiency
• Subsidized health plans, dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more • Reasonable accommodations for disabilities, pregnancy-related conditions, and sincerely held religious beliefs
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