Senior Provider Auditor

Overview

This role is eligible for Remote / Work from Home (telecommuting eligible). The Provider Audit department is responsible for conducting Centers for Medicare & Medicaid Services (CMS) and other financial analysis, limited and full desk reviews, and in-house and on-site field audits to help ensure proper reimbursement for health care providers for Medicare programs.

As a Senior Provider Auditor, this position serves as a primary point of contact with providers and facilities management throughout the audit process and requires a high level of professionalism.

Responsibilities

• Apply advanced knowledge of Medicare rules and regulations (e.g., Code of Federal Regulations, Provider Reimbursement Manual) to ensure reimbursement principles are properly applied to the Medicare Cost Report.
• Review assigned portions of audit programs to determine compliance with policies and procedures.
• Recommend corrective action plans based on audit findings.
• Prepare and submit reports detailing the results of audits.
• Mentor staff at all levels through training, coaching, and constructive feedback.
• Support training for new and existing employees on department techniques, desk review, and audit methodologies, including policies and procedures.
• Provide professional judgment, strategic insight, and guidance to Provider Auditor I and II.
• Perform less complex supervisory-level reviews and coach staff with feedback to strengthen knowledge and skills.
• Maintain strong, professional working relationships with providers.
• Manage documentation requirements from audit testing through preparation of audit workpapers.
• Provide training to internal staff and participate in external outreach and education to the provider community.
• Obtain a minimum of 80 CET hours every two years.

Requirements

• Bachelor’s degree in Accounting, Business, Finance, or equivalent work experience.
• 3 years’ Medicare auditing experience.
• Knowledge of accounting theory and practices.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint).
• Advanced knowledge of Medicare rules and regulations (e.g., Code of Federal Regulations, Provider Reimbursement Manual) to ensure reimbursement principles are properly applied to the Medicare Cost Report.

Preferred Qualifications

• Bachelor’s degree in Accounting, Business, or Finance.
• Excellent written and verbal communication skills.
• Excellent organizational skills.
• Ability to coach, advise, and develop others.
• Demonstrated understanding of industry and enterprise objectives.
• Excellent presentation skills.

Compensation & Benefits

• Salary Range: $59,937.84 – $98,582.59 per year (base pay may vary based on geographic region, internal equity, job-related knowledge, skills, and experience, and other factors).
• Other Compensation: Incentive Plan & Lifestyle Benefit
• Total Rewards Package includes:
  • Health, Dental and Vision Insurance
  • Voluntary Insurance Plans
  • Health Savings and Flexible Spending Accounts
  • 401k and Company Match
  • Company-paid Life Insurance
  • Education Assistance Program
  • Paid Sick Leave
  • Paid Holidays
  • Increasing PTO Accrual Plan
  • Medical/Parental/Disability Leave
  • Workers Compensation
  • Retiree Benefits
  • Severance Package
  • Employee Assistance Program
  • Financial and Health Wellness Benefits
  • Casual Dress
  • Open Office Setting
  • Online Learning System

Location

• Remote / Work from Home.
• As a condition of employment, physical work location must be in one of the 50 states or the District of Columbia.

Additional Information

• Federal identity credentials/access compliance: Some positions require compliance with federal and agency-specific regulations and federal contract requirements, and may require eligibility to obtain and maintain federal identity credentials and authorized access to government facilities, information systems, networks, sensitive information, or applications.
• Credential requirement timing: Federal identity credentials and authorized access will not be issued to candidates who have not resided in the United States at least three (3) out of the last five (5) years.
• Failure to obtain and maintain eligibility may result in removal from the position or termination of employment.

Equal Employment Opportunity

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or other characteristics protected by state or federal law.

Application Deadline

This position will be closed 11/02/2026 at 8:00AM CST. No further applications will be considered.