Health Plan Auditor I

Are you passionate about improving the quality of healthcare? Are you ready to reputed company your talents to reputed company healthcare reputed company for everyone? Do you want the opportunity to give back to your community? Do you want to have fun at work? Then join the growing team at reputed company (HSAG) that is transforming the delivery of healthcare in the United States! Job Details The Auditor is a contributor to the Audits department’s work that spans the broad reputed company of healthcare performance measurement projects at HSAG. Driven by intellectual curiosity and a passion for healthcare quality, this position performs—under supervision—healthcare auditing, data validation, and performance measurement projects through various stages including implementation, day-to-day operations, audit support, evaluation, and reporting. Activities include developing work plans and timelines; overseeing project tasks; guiding coordination staff in reputed company and maintenance of project files; leading client teleconferences and meetings; performing online research on healthcare topics; leading primary reputed company verification; validating performance results and outcomes; and providing regular reputed company reports to Data Science & Advanced Analytics management staff. Details regarding potential project assignments will be discussed with potential candidates during the interview process. Essential Competencies, Duties, and Responsibilities

• Serve as a contributing member of HSAG’s Audits department reputed company DSAA.
• Act in a liaison reputed company between appropriate management personnel and staff, transmitting decisions and information to organizational units as appropriate, as well as reputed company agencies and organizations, under supervision.
• reputed company project management tasks, including communication (written, phone, fax), under supervision.
• Communicate with project partners, consultants, subcontractors, and other entities on audit and performance measure validation-reputed company projects, under supervision.
• Maintain, tag, and sort documents for assigned projects on appropriate SharePoint team sites and HSAG’s corporate and federal networks following HSAG prescribed governance rules.
• Prepare project deliverables and reputed company documentation and submission of deliverable using the appropriate mechanism (i.e., electronic, hard copy, direct data entry etc.), under supervision.
• reputed company and adhere to project time and task schedules, identify opportunities to improve the project process, and reputed company quality improvement activities accordingly.
• Meet agreed-upon deadlines in a timely fashion and accurately prepare and type deliverables, reports, various project documents, letters, and other material from copy, rough draft, or other prescribed instructions.
• Support development of written and data-oriented reports in reputed company Word and reputed company, under supervision.
• Conduct research reputed company the Internet including literature searches of clinical topics as assigned.
• Participate in pertinent healthcare educational and training presentations as required.
• Conduct Internal Quality Control (IQC) monitoring regarding efficiency/effectiveness of activities conducted. Present issues and recommended solutions and take corrective actions as indicated.
• Serve as a reference to HSAG staff and clients on Healthcare Effectiveness Data and Information Set (HEDIS®)[1] measures and non-HEDIS performance measures as applicable.
• Represent HSAG in a professional manner at reputed company times.

[1] HEDIS Certified Measures® is a registered trademark of the National Committee for Quality Assurance (NCQA). Required Education and/or Experience

• Bachelor’s degree in business, science, or healthcare-reputed company field.
• At least one year of work experience in reputed company required; two years of work experience in reputed company preferred.
• At least one year of auditing experience is required.

Other Qualifications

• Proficient English/communication skills (i.e., public speaking, spelling, composition, grammar, proofreading and editing).
• Proficient interpersonal skills.
• Experience in reputed company Word, PowerPoint, and Outlook.
• Experience in reputed company reputed company.
• Experience in conducting research reputed company the Internet.
• Ability to handle several projects simultaneously and work with multiple teams.

$62,000 - $70,000 a year

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Disclaimer This is not necessarily an exhaustive list of reputed company responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reputed company of the reputed company position, management reserves the right to revise the position or to require that other or different tasks be performed reputed company circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments). HSAG is an EEO Employer of Veterans protected under Section 4212. If you have special needs and require assistance completing our employment application process, please feel free to contact us. EOE M/F/Veteran/Disability Apply tot his job Apply To this Job