Our Cost Report Auditor is responsible for conducting audits and desk reviews of Medicare Cost Reports in accordance with the Centers for Medicare & Medicaid Services (CMS) regulations. They ensure the accuracy and integrity of statistical and financial data submitted by healthcare providers and supports the effective use of U.S. tax dollars in the Medicare program. This auditor plays a key role in upholding government auditing standards and ensuring cost-effective healthcare delivery.

Salary Range $47,000 - $51,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.

Work Location We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin

In this role you will:

Complete audits and desk reviews using the Uniform Desk Review/Audit Program, meeting established interim and monthly production goals.
Prepare audit adjustment reports and complete detailed work papers in alignment with Government Auditing Standards and CMS requirements.
Analyze financial and statistical data, including expense and revenue figures, to assess reasonableness and compliance with federal regulations.
Review provider pricing policies to ensure consistency in charge structures and examine statistical data for proper cost allocation.
Participate in work groups focused on improving work paper guidelines, auditing techniques, and documentation standards.
Communicate with providers providing explanations and supporting documentation and applicable regulations to support audit findings and reimbursement decisions.

How do I know this opportunity is right for me? If you:

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 with flexible work hours.
Are interested in working remotely in the comfort of your home – no driving time, gas costs, or wear and tear on your vehicle.

What will I gain from this role?

Work experience with a management team that is committed to maintaining a high performing work culture.
Learn basic auditing principles that can spark career growth.
A thorough introduction to healthcare reimbursement.
Serving Medicare beneficiaries and providers.
Working in a continuous performance feedback environment.

Minimum Qualifications

Bachelor’s degree in Accounting, Finance, Business Administration, or related field, or equivalent post high school education and/or work-related experience.
Strong analytical and decision-making skills.
Exceptional organizational skills with a high degree of attention to details.
Strong verbal and written communication skills.
Solid knowledge and experience with Microsoft Excel.

Preferred Qualifications

Knowledge of CMS Medicare Cost Reporting requirements and Government Auditing Standards.
Experience with audit methodologies, financial analysis, and regulatory compliance.

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

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
Professional and Leadership Development Programs

Review additional benefits: https://www.wpshealthsolutions.com/careers/

Who We Are

WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for 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 has been making healthcare easier for the people we serve for nearly 80 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 open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce—both current and future—to effectively seek, leverage, and include differing and unique 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 organizations regarding our culture and workplace: WPS Newsroom - Awards and Recognition.

This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.