G&A Auditor I (US)
Company: Elevance Health
Posted on: September 21, 2022
**G&A Auditor I (US)**
+ Job Family: Customer Care
+ Type: Full time
+ Date Posted:Sep 07, 2022
+ Req #: JR19867
+ National +50 Miles away from nearest PulsePoint, National +50
Miles away from nearest PulsePoint
+ Iowa, Iowa
+ Wisconsin, Wisconsin
+ Louisiana, Louisiana
+ Minnesota, Minnesota
+ Tennessee, Tennessee
+ Arkansas, Arkansas
+ West Virginia, West Virginia
+ Florida, Florida
+ Georgia, Georgia
The **G&A Auditor I** 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
+ 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 audits and may receive
guidance from G&A Auditor IIs.
+ Requires a BA/BS degree
+ A minimum of 1 year of grievance and appeals experience; or any
combination of education and experience which would provide an
**Preferred Skills, Capabilities, and Experiences:**
+ Proficient with Microsoft Office Suite and Adobe Suite
Employee Referral Bonus $250.
**Applicable to Colorado Applicants Only**
Annual Salary Range*: $24.72 - $30.89 (Min - MRP)
Actual compensation may vary from posting based on geographic
location, work experience, education and/or skill level.
* The hourly or salary range is the range Elevance Health in good
faith believes is the range of possible compensation for this role
at the time of this posting. The Company may ultimately pay more or
less than the posted range. This range is only applicable for jobs
to be performed in Colorado. This range may be modified in the
future. No amount is considered to be wages or compensation until
such amount is earned, vested, and determinable under the terms and
conditions of the applicable policies and plans. The amount and
availability of any bonus, commission, benefits, or any other form
of compensation and benefits that are allocable to a particular
employee remains in the Company's sole discretion unless and until
paid and may be modified at the Company's sole discretion,
consistent with the law.
Please be advised that Elevance Health only accepts resumes from
agencies that have a signed agreement with Elevance Health.
Accordingly, Elevance Health is not obligated to pay referral fees
to any agency that is not a party to an agreement with Elevance
Health. Thus, any unsolicited resumes, including those submitted to
hiring managers, are deemed to be the property of Elevance
**Be part of an Extraordinary Team**
Elevance Health is a health company dedicated to improving lives
and communities - and making healthcare simpler. Previously known
as Anthem, Inc., we have evolved into a company focused on whole
health and updated our name to better reflect the direction the
company is heading.
We are looking for leaders at all levels of the organization who
are passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?
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.
The health of our associates and communities is a top priority for
Elevance Health. We require all new candidates to become vaccinated
against COVID-19. If you are not vaccinated, your offer will be
rescinded unless you provide - and Elevance Health approves - a
valid religious or medical explanation as to why you are not able
to get vaccinated that Elevance Health is able to reasonably
accommodate. Elevance Health will also follow all relevant federal,
state and local laws.
Elevance Health has been named as a Fortune Great Place To Work in
2021, is ranked as one of the 2021 World's Most Admired Companies
among health insurers by Fortune magazine, and a Top 20 Fortune 500
Companies on Diversity and Inclusion. To learn more about our
company and apply, please visit us at
careers.ElevanceHealthinc.com. 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 email@example.com for assistance.
EEO is the Law
Equal Opportunity Employer / Disability / Veteran
Please use the links below to review statements of protection from
discrimination under Federal law for job applicants and
+ EEO Policy Statement
+ EEO is the Law Poster
+ EEO Poster Supplement-English Version
+ Pay Transparency
+ Privacy Notice for California Residents
Elevance Health, Inc. is an E-verify Employer
Email us (firstname.lastname@example.org) or call
Keywords: Elevance Health, Montgomery , G&A Auditor I (US), Accounting, Auditing , Montgomery, Alabama
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