Top 22 Senior auditor remote Jobs in Columbus

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
- $54,922 - $107,099 a year
- Full-time
- Remote
- RN License
- Writing skills
- Analysis skills
- Health insurance
9d
Senior Quality Assurance Officer
Battelle —Columbus, OH
- Full-time
- Hybrid work
- Office
- 8 years
- Analysis skills
- Wellness program
- Health insurance
7d
Senior Auditor
Embark Recruiting Solutions —Columbus, OH
- Full-time
- Management
- CPA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Actuarial Technical Consultant – Personal Lines Pricing - REMOTE
Nationwide —Columbus, OH
- 8 hour shift
- Remote
- 7 years
- Mid-level
- Master's degree
- Paid holidays
- Disability insurance
7d
Senior Manager, Operations Risk Management
Mission Lane —Columbus, OH
- $115,000 - $138,000 a year
- Full-time
- Remote
- 5 years
- Travel
- Senior level
- Paid parental leave
- Disability insurance
13d
Sr Actuarial Consultant - Personal Lines State Pricing - REMOTE
Nationwide —Columbus, OH
- 8 hour shift
- Hybrid work
- 6 years
- Analysis skills
- Math
- Paid holidays
- Disability insurance
14d
Senior Security Engineer
Medical Mutual of Ohio —Dublin, OH
- Hybrid work
- 7 years
- Office
- Bachelor's degree
- Health savings account
- Disability insurance
Actuarial Associate - Middle Market Pricing (Remote)
Nationwide —Columbus, OH
- 8 hour shift
- Remote
- Microsoft Excel
- Mid-level
- 3 years
- Paid holidays
- Disability insurance
Associate - Corporate Mortgage Finance Relationship Manager
Huntington Bank —Columbus, OH
- Full-time
- Microsoft Word
- Microsoft Excel
- Mid-level
Senior Data Security Architect (Data Platform Security)
McKesson —Columbus, OH
- $124,100 - $206,900 a year
- Full-time
- Hybrid work
- Computer science
- 7 years
- Computer Science
Senior Accountant - Affordable Housing
Lutheran Social Services of Central Ohio —Columbus, OH
- $70,000 - $85,000 a year
- Full-time
- Hybrid work
- Mid-level
- Bachelor's degree
- 2 years
- Health savings account
- Paid holidays
Quick Apply
Actuarial Sr Consultant, General Liability Pricing (Agribusiness & E&S) - REMOTE
Nationwide —Columbus, OH
- 8 hour shift
- Remote
- 6 years
- Analysis skills
- Math
- Paid holidays
- Disability insurance
Senior Quality Systems Engineer
Anduril Industries —Ashville, OH
- $99,000 - $131,000 a year
- Email
- 3 years
- Bachelor's degree
- Travel
Quick Apply
Controllership/Accounting positions - Evergreen
Nationwide —Columbus, OH
- Extended hours
- Hybrid work
- Background check
- Computer literacy
- Research
- Paid holidays
- Disability insurance
Accounting/Finance Group Manager Sr
Huntington Bank —Columbus, OH
- Full-time
- CPA
- Research
- Office
8d
Technical Director, Sales and Use Tax
Nationwide —Columbus, OH
- 8 hour shift
- Remote
- Background check
- 6 years
- CPA
- Paid holidays
- Disability insurance
5d
Sr. Accountant
Corporate One FCU —Columbus, OH
- $83,000 - $89,000 a year
- Full-time
- Microsoft Outlook
- CPA
- Research
- Wellness program
- Paid parental leave
Quick Apply
Senior Director of Finance
HARDI-Heating, Air-conditioning & Refrigeration Distributors International —Columbus, OH
- $100,000 - $120,000 a year
- Full-time
- Hybrid work
- CPA
- 5 years
- Finance
- Health savings account
- Health insurance
Quick Apply
Client Solutions Manager
RAB Aggregator, LLC —Westerville, OH
- $21.63 - $31.25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Data analysis skills
Quick Apply
8d

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Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
If licensed, license must be active and unrestricted in state of practice. Implements evidence-based and data-informed key member intervention strategies…
$54,922 - $107,099 a year
9d
Senior Quality Assurance Officer
Battelle —Columbus, OH
Bachelor's Degree in a related field; eight (8) years of experience in a quality assurance program applied to laboratory operations, and proven leadership…
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Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)

Molina Healthcare -
Columbus, OH

Apply Now

Job Details

Full-time
$54,922 - $107,099 a year
9 days ago

Benefits

Health insurance

Qualifications

Managed care
Managed care organization experience
Writing skills
Clinical program data analysis
Productivity software
Clinical data analysis

Full Job Description

Molina Healthcare of Ohio is hiring for a Sr Quality Improvement/HEDIS Specialist on our Health Plan Community Interventions team.
This role is remote however candidates must live in Ohio.

This role is laser focused on Quality Improvement using QI Science. This role will be assigned a primary population stream and will be expected to support improvement work for Medicare Stars Measures.

Highly qualified candidates will have the following experience-

Using the specific models for improvement required by the state of Ohio
Experience with a formal model like IHI or Lean or Six Sigma, Green or Yellow Belt Improvement
Power BI is helpful but expert level is not required
Familiarity with Medicare (Ideally the Duals population)
Familiarity with QI Science, Health Equity, Population Health, Health Management

This role also provides senior level support for clinical quality member intervention activities. Responsible for the developing and implementing new and existing member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid, etc.). Executes health plan member and community quality-focused interventions and programs in accordance with established program standards, and federal/state/National Committee for Quality Assurance (NCQA) regulations. Conducts data collection, monitors intervention activity including key performance measurement activities, reports intervention outcomes, and supports continuous improvement of intervention processes and outcomes.

Essential Job Duties

Implements evidence-based and data-informed key member intervention strategies including initiating and managing member and/or community interventions (e.g., removing barriers to care) and other federal and state quality initiatives.
Monitors and ensures that key member intervention activities are completed on time and accurately, and presents results to key departmental management and other applicable Molina departments.
Writes narrative reports to interpret regulatory specifications, explains programs and results of programs, and documents findings and limitations of department interventions.
Creates, manages, and/or compiles required documentation necessary to maintain critical program milestones, deadlines, and deliverables.
Participates in quality improvement (QI) activities, meetings, and discussions with and between other departments within the organization.
Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based organizations (CBOs).
Evaluates quality project/program activities and results to identify opportunities for improvement.
Raises gaps in processes that may require remediation to quality leadership.
Provides support for quality-related projects.
Provides training and support to new and existing quality member interventions team members.
Demonstrates flexibility when it comes to change management and maintains a positive outlook.
This position may require same day out of office travel 0 - 80% of the time, depending upon state-specific needs.
This position may require multi-day overnight travel on occasion, depending upon state-specific needs.

Required Qualifications

At least 3 years of experience in health care, and at least 2 years of experience in health plan quality member interventions in a managed care setting, or equivalent combination of relevant education and experience.
Demonstrated solid business writing experience.
Proficiency with data analysis, manipulation and interpretation.
Intermediate knowledge and understanding of HEDIS and NCQA.
Critical-thinking, problem-solving and analytical skills.
Attention to detail and organizational skills.
Ability to navigate change with flexibility and a positive outlook.
Ability to work independently in a fast-paced, deadline-driven environment.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency, and ability to learn new information systems and software programs.

Preferred Qualifications

Experience with data reporting, analysis, and interpretation.
Experience with Medicaid, Medicare, and/or Marketplace government-sponsored programs.
Certified Professional in Health Quality (CPHQ).
Certified HEDIS Compliance Auditor (CHCA).

Registered Nurse (RN). If licensed, license must be active and unrestricted in state of practice.
*

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $54,922 - $107,099 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

senior auditor remote jobs in columbus

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)

Senior Quality Assurance Officer

Senior Auditor

Actuarial Technical Consultant – Personal Lines Pricing - REMOTE

Senior Manager, Operations Risk Management

Sr Actuarial Consultant - Personal Lines State Pricing - REMOTE

Senior Security Engineer

Actuarial Associate - Middle Market Pricing (Remote)

Associate - Corporate Mortgage Finance Relationship Manager

Senior Data Security Architect (Data Platform Security)

Senior Accountant - Affordable Housing

Actuarial Sr Consultant, General Liability Pricing (Agribusiness & E&S) - REMOTE

Senior Quality Systems Engineer

Controllership/Accounting positions - Evergreen

Accounting/Finance Group Manager Sr

Technical Director, Sales and Use Tax

Sr. Accountant

Senior Director of Finance

Client Solutions Manager

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