← all jobs

[Remote] Healthcare Auditor II

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. Health Services Advisory Group, Inc. (HSAG) is an industry leader in healthcare audits and performance measurement. The Auditor II role is focused on healthcare auditing, data validation, and performance measurement projects, contributing to improving healthcare quality.

Responsibilities

  • Serve as a key member of HSAG’s Audits department within DSAA
  • Assist in the management of client contracts and lead small projects and tasks
  • Assist in the management of supplemental Healthcare Effectiveness Data and Information Set(HEDIS®)
  • Serve as a lead auditor for non-HEDIS performance measure validation audits
  • 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 limited supervision
  • Lead project management tasks, including communication (written, phone, fax), under limited supervision
  • Communicate with project partners, consultants, subcontractors, and other entities on audit and performance measure validation-related projects, under limited 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 limited 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 with limited supervision
  • Develop and prepare written and data-oriented reports in Microsoft Word and Excel, under limited supervision. Serve as a major report contributor
  • 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 key reference to HSAG staff and clients on 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 three years of work experience in healthcare and a minimum of five years of work experience are required
  • At least two years of auditing experience and one year of experience as a lead auditor, with at least one year in HEDIS auditing and/or data validation
  • Knowledge of performance measures is required
  • Experience writing client reports is required
  • Contract management and/or project management 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
  • Master's degree is preferred

Benefits

  • A comfortable work-life balance, including flexible work schedules
  • Three weeks of paid time off and 15 company-paid holidays where staff leave two hours early prior to each holiday to get a“jump start” on holiday festivities
  • HSAG offers a competitive benefit package which includes medical, dental, vision, tuition reimbursement, and 401(k)
  • Formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques

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/.

More open positions

Senior Auditor (US) - Compliance

Work from home Full-time role

Senior Call Quality Audit Professional- Remote nationwide

Work from home Full-time role

Auditor, Medical Devices - Full-Time

Work from home Full-time role

Premium Auditor job at ARMStrong Insurance Services in Columbia, SC

Work from home Full-time role

Insurance Premium Audit Consultant II - Field Travel (Remote)

Work from home Full-time role

Learning and Development Curator

Work from home Full-time role

Azure Cloud Architect/Engineer – Remote CTH

Work from home Full-time role

Sales Enablement Specialist

Work from home Full-time role

Account Management Professional - VSP

Work from home Full-time role

Shopify Developer + CRO Expert Needed for Premium Jewelry Brand Launch

Work from home Full-time role

Marketing and Communications Intern (PT)

Work from home Full-time role

Experienced Data Entry Associate – Night and Day Shift Opportunities at careerzynith

Work from home Full-time role

Remote Data Entry Virtual Assistant – Entry‑Level Airline Operations Support – Flexible Work‑From‑Home Role at careerzynith

Work from home Full-time role

Claims Service Specialist

Work from home Full-time role

Computer Support Technician 2

Work from home Full-time role

Staff Reporter

Work from home Full-time role

Part‑Time Remote Data Entry Associate – Home‑Based Role Supporting careerzynith’s Healthcare Data Management

Work from home Full-time role

UK Construction Software Evaluators: Feedback on Site and Scheduling Tools

Work from home Full-time role

[Remote] Financial Analyst

Work from home Full-time role

Verification Specialist

Work from home Full-time role

Director, Brand Communication

Work from home Full-time role