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Healthcare Auditor II

Health Services Advisory Group, Inc. -
Remote

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Job Details

Full-time
$80,000 - $90,000 a year

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
Flexible schedule

Qualifications

Project reporting
Audit report preparation
Writing skills
Research
Quality reports
Audit Reporting
Clinical audit and monitoring
Bachelor's degree
Clinical performance metrics
Healthcare performance metrics analysis
Healthcare data reporting
HEDIS

Full Job Description

Are you passionate about improving the quality of healthcare?

Are you ready to leverage your talents to make healthcare better 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 Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!

Summary

HSAG is nationally recognized as an industry leader in the areas of audits, data analysis, measure development, and patient satisfaction surveys. We are in search of talented individuals who are interested in a career in healthcare performance measure auditing as an Auditor II in HSAG’s Audits department within the Data Science & Advanced Analytics division. Together we can spread positive change to make healthcare better.

UNIQUE BENEFITS

The Auditor II position benefits from HSAG’s desire to grow its staff into future leaders of healthcare quality improvement in the nation. HSAG’s auditors are provided formal training in an assortment of healthcare-related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques.

HSAG offers:

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).

DESCRIPTION

The Auditor II is a key contributor to the Audits department’s work that spans the broad spectrum of healthcare performance measurement projects at HSAG. Driven by intellectual curiosity and a passion for healthcare quality, this position performs—under limited supervision—healthcare auditing, data validation, and performance measurement projects through various stages including implementation, day-to-day operations, auditing, evaluation, and reporting. Activities include developing and managing work plans and timelines; leading targeted projects and tasks; guiding coordination and Auditor I staff in oversight and maintenance of project files and other project tasks; leading client teleconferences and meetings; performing online research on healthcare topics; leading performance measure validation audits; and providing regular progress 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 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®)[1]
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.

[1]HEDIS Certified Measures® is a registered trademark of the National Committee for Quality Assurance (NCQA).audit operations.

Education and/or Experience

Bachelor’s degree in business, science, or healthcare-related field. Master’s degree is preferred.
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.

Other Qualifications

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.

$80,000 - $90,000 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 enable individuals with disabilities to perform the essential functions.

Disclaimer

This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when 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

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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