Cost Report Supervisor

Role Snapshot

The Cost Report Supervisor plans, directs, and reviews audits and desk reviews of Medicare Cost Reports in accordance with the Centers for Medicare and Medicaid Services (CMS) expectations for timeliness and accuracy. This role supports compliance with contractual and regulatory requirements set by the Centers for Medicare & Medicaid Services (CMS), while ensuring timely and accurate cost report settlements that impact Medicare provider reimbursement.

Salary Range

$80,000 - $95,000

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

How do I know this opportunity is right for me? In this role you will:

• Assign, monitor and review audits and desk reviews using the Uniform Desk Review/Audit Program, ensuring quality and timely completion.
• Defend audit and reimbursement related decisions and adjustments proposed.
• Monitor and evaluate staff performance through quality audits and performance metrics; providing coaching, feedback, and developmental opportunities.
• Provide leadership in meeting internal production goals and CMS requirements.
• Seek innovative ways to improve work processes to meet job objectives while continually enhancing performance.
• Monitor Medicare regulations and provide recommendations to leadership to ensure cost report practice maintain compliance.
• Participate in audit workgroups directing future specific audit functions rolled out for companywide implementation.
• Monitor team workload to ensure timely completion of audits and desk reviews, cost report acceptances, tentative and final settlements, interim rate reviews, and new provider evaluations.
• Ensure team compliance with government standards and internal audit procedures.

Minimum Qualifications

• Bachelor's degree in Accounting, Finance, Business Administration, or related field, or equivalent post high school education and/or work-related experience.
• 3 more years of progressive experience in Medicare cost report auditing.
• 1 year or more in a supervisory or lead role.
• Solid knowledge of CMS cost reporting and reimbursement methodologies.
• Strong analytical, problem-solving, and decision-making skills.
• Strong verbal and written communication skills.
• Highly organized and detail-oriented, capable of managing multiple priorities in a fast-paced environment.
• Proficient in Microsoft Office, audit software, and data reporting tools.

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/fulltime_benefits.shtml)

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 organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.

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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