In this fully remote position as an HCD Auditor you will apply your expert knowledge of billing HCD claims to perform extensive audit reviews. You will utilize HCPCS codes, medical record review, industry and EXL proprietary tools in the audit process. Write professional communications documenting audit findings and supporting rationales. You will also apply your extensive industry knowledge to identify audit trends and opportunities. EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers. EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

Anticipated End Date: 2026-03-19 Position Title: Audit & Reimbursement III and Senior Job Description: Audit & Reimbursement III Location:  This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement III will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). Under guided supervision, the Audit and Reimbursement III will gain experience on complex issues involving the Medicare cost report and Medicare Part A reimbursement. They will participate in contractual Audit and Reimbursement workload, and have opportunities to participate on special projects. This position provides a valuable opportunity to gain further experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities. How you will make an impact: - Analyzes and interprets data and makes recommendations for change based on judgment and experience. - Able to work independently on assignments and under minimal guidance from the manager. - Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. - Gain experience with applicable Federal Laws, regulations, policies and audit procedures. - Respond timely and accurately to customer inquiries. - Ability to multi-task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skills. - Must be able to perform all duties of lower-level positions as directed by management. - Participates in special projects and review of work done by auditors as assigned. - Assist in mentoring less experienced associates as assigned. - Perform complex cost report desk reviews. - Perform complex cost report audits, serving as an in-charge auditor assisting other auditors assigned to the audit. - Dependent upon experience, may perform supervisory review of work completed by other associates. - Analyze and interpret data per a provider’s trial balance, financial statements, financial documents or other related healthcare records. - Perform cost report acceptance, interim rate reviews, final settlements and tentative settlements as assigned. - Performs complex calculations related to payment exception requests and reviews exception request work papers prepared by others. - Perform cost report reopenings. - Under guided supervision, participate in completing more complex appeals related work: - Position papers - Jurisdictional Reviews - Maintaining accurate records by updating all logs, case files, tracking systems - Participate in all team meetings, staff meetings, and training sessions Minimum Requirements: - Requires a BA/BS degree and a minimum of 3 years of audit/reimbursement or related Medicare experience; or any combination of education and experience, which would provide an equivalent background. - This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years. Preferred Skills, Capabilities, and Experiences: - Degree in Accounting preferred. - Knowledge of CMS program regulations and cost report format preferred. - Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. - MBA, CPA or CIA preferred. - Must obtain Continuing Education Training requirements (where required). - A valid driver's license and the ability to travel may be required. Audit & Reimbursement Senior Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. *Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement. This position provides a valuable opportunity to gain advanced experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities. How you will make an impact: - Evaluate the work performed by other associates to ensure accurate reimbursement to providers. - Assist Audit and Reimbursement Leads and Managers in training, and development of other associates. - Participates in special projects as assigned. - Able to work independently on assignments and under minimal guidance from the manager. - Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. - Analyze and interpret data with recommendations based on judgment and experience. - Must be able to perform all duties of lower-level positions as directed by management. - Participate in development and maintenance of Audit & Reimbursement standard operating procedures. - Participate in workgroup initiatives to enhance quality, efficiency, and training. - Participate in all team meetings, staff meetings, and training sessions. - Assist in mentoring less experienced associates as assigned. - Prepare and perform supervisory review of cost report desk reviews and audits. - Review of complex exception requests and CMS change requests. - Perform supervisory review of workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ Acquisition, Wage Index and all cost based principles. - Prepare and perform supervisory review of cost report acceptance, interim rate reviews, tentative settlements and final settlements as assigned. - Prepare and perform supervisory review of cost report reopenings. - Manage caseload of Medicare cost report Appeals - Position papers - Jurisdictional Reviews - PRRB Hearings - Administrative Resolutions - PRRB or CMS requests - Monitor all communications related to caseload - Maintaining accurate records by updating all logs, case files, tracking systems Minimum Requirements: - Requires a BA/BS and a minimum of 5 years of audit/reimbursement or related Medicare experience; or any combination of education and experience which would provide an equivalent background. - This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years. Preferred Skills, Capabilities, and Experiences: - Accounting degree preferred. - Knowledge of CMS program regulations and cost report format preferred. - Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. - Must obtain Continuing Education Training requirements. - MBA, CPA, CIA or CFE preferred. - Demonstrated leadership experience preferred. - A valid driver's license and the ability to travel may be required. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: AFA > Audit, Comp & Risk Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. 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. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. 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 elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description AECOM is seeking an Environmental Compliance Auditor for one of our offices in Sacramento, CA. This opportunity can be remote. JOB SUMMARY This role conducts environmental compliance audits in active construction areas, including reviewing reports, permits, and regulatory documents. Prepares audit findings and coordinates with technical teams to ensure environmental commitments are met. Works closely with an interdisciplinary compliance team. JOB RESPONSIBILITIES - Provide oversight and management of compliance with the Authority’s environmental commitments - Evaluate high-speed rail for conformance to federal, state, and local regulatory standards - Act independently and as part of a multi-discipline compliance team to ascertain compliance and recommend appropriate action to ensure compliance or return to compliance - Assist with the development of findings, recommendations, and corrective actions to ensure continued compliance and address compliance deficiencies - Provide technical assistance to ensure continued permit compliance and address noncompliance - Coordinate the development of written procedures Qualifications MINIMUM REQUIREMENTS - BA/BS + 4 years of relevant experience or demonstrated equivalency of experience and/or education. PREFERRED QUALIFICATIONS - Bachelor’s degree in environmental science, engineering, biology, or related field and 5-7 years of relevant experience - Familiarity with state and federal environmental laws and regulations (e.g., National Environmental Policy Act [NEPA], California Environmental Quality Act [CEQA], Sections 401 and 404 of the Clean Water Act, Section 7 of the federal Endangered Species Act, Section 2081 of the California Endangered Species Act, and Section 1600 of the California Fish and Game Code) - Familiarity with ISO 14001 environmental management systems, or other environmental management certifications - Strong knowledge of environmental permitting processes, regulations and laws (e.g., federal and California endangered species acts, Clean Water Act, NEPA/CEQA, Clean Air Act) - Ability to successfully manage multiple competing priorities - Experience with design-build contracting and construction processes - Experience with linear infrastructure projects - Experience working on large, complex programs and projects - Strong technical reading, writing, and reporting experience - Advanced degree in biology, environmental science, civil/environmental engineering, or related science - Certified Professional Environmental Auditor (CPEA), Certified Hazardous Materials Manager (CHMM), ISO 14001 lead auditor training, or other environmental management certification Additional Information - Some travel may be required - Sponsorship is not provided for this role now or in the future About AECOM AECOM is proud to offer comprehensive benefits to meet the diverse needs of our employees. Depending on your employment status, AECOM benefits may include medical, dental, vision, life, AD&D, disability benefits, paid time off, leaves of absences, voluntary benefits, perks, flexible work options, well-being resources, employee assistance program, business travel insurance, service recognition awards, retirement savings plan, and employee stock purchase plan. AECOM is the global infrastructure leader, committed to delivering a better world. As a trusted professional services firm powered by deep technical abilities, we solve our clients’ complex challenges in water, environment, energy, transportation and buildings. Our teams partner with public- and private-sector clients to create innovative, sustainable and resilient solutions throughout the project lifecycle – from advisory, planning, design and engineering to program and construction management. AECOM is a Fortune 500 firm that had revenue of $16.1 billion in fiscal year 2025. Learn more at aecom.com. What makes AECOM a great place to work You will be part of a global team that champions your growth and career ambitions. Work on groundbreaking projects - both in your local community and on a global scale - that are transforming our industry and shaping the future. With cutting-edge technology and a network of experts, you’ll have the resources to make a real impact. Our award-winning training and development programs are designed to expand your technical expertise and leadership skills, helping you build the career you’ve always envisioned. Here, you’ll find a welcoming workplace built on respect, collaboration and community—where you have the freedom to grow in a world of opportunity. As an Equal Opportunity Employer, we believe in your potential and are here to help you achieve it. All your information will be kept confidential according to EEO guidelines. - State/Province: California - Business Group: DCS - Offered compensation will be based on location and individual qualifications. The expected range is: $68,000.00 - $115,000.00 - Legal Entity: AECOM Technical Services Inc - Business Line: Environment - Work Location Model: Remote - Operating Group: Americas - Primary Location: US - Sacramento, CA - 2020 L St - Compensation: USD 68000 - USD 115000 - yearly

• Review professional claims to verify HCPCS coding accuracy and appropriate reimbursement for Durable Medical Equipment (DME). • Apply industry knowledge and EXL’s proprietary tools to identify overpayments and audit trends. • Write clear, professional audit rationales based on AMA guidelines. • Navigate various client systems to reprice and process complex claims. • Interpret provider contracts and fee schedules to determine correct payment methods. • Maintain high standards for quality, productivity, and appeals uphold rate. • Stay updated on coding guidelines, CMS/OIG policies, and industry best practices. • Ensure compliance with HIPAA and all federal/state regulations.