[Remote] Health Plan Auditor I

🌍 Remote, USA 🚀 Full-time 🕐 Posted Recently

Job Description

Note: The job is a remote job and is open to candidates in USA. Health Services Advisory Group (HSAG) is transforming the delivery of healthcare in the United States. The Health Plan Auditor I will contribute to healthcare performance measurement projects by performing auditing, data validation, and supporting project management tasks under supervision.

    Responsibilities
  • Serve as a contributing member of HSAG’s Audits department within DSAA
  • Act in a liaison capacity between appropriate management personnel and staff, transmitting decisions and information to organizational units as appropriate, as well as outside agencies and organizations, under supervision
  • Lead 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-related 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 lead documentation and submission of deliverable using the appropriate mechanism (i.e., electronic, hard copy, direct data entry etc.), under supervision
  • Develop and adhere to project time and task schedules, identify opportunities to improve the project process, and develop 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 Microsoft Word and Excel, under supervision
  • Conduct research via 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®) measures and non-HEDIS performance measures as applicable
  • Represent HSAG in a professional manner at all times
    Skills
  • Bachelor's degree in business, science, or healthcare-related field
  • At least one year of work experience in healthcare is required
  • At least one year of auditing experience is required
  • Proficient English/communication skills (i.e., public speaking, spelling, composition, grammar, proofreading and editing)
  • Proficient interpersonal skills
  • Experience in Microsoft Word, PowerPoint, and Outlook
  • Experience in Microsoft Excel
  • Experience in conducting research via the Internet
  • Ability to handle several projects simultaneously and work with multiple teams
  • Two years of work experience in healthcare is preferred
    Company Overview
  • Health Services Advisory Group, Inc. It was founded in 1979, and is headquartered in Phoenix, Arizona, USA, with a workforce of 201-500 employees. Its website is https://www.hsag.com/.

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