Top 411 Compliance auditor Jobs in Herndon, Va

Clinical Quality Performance Specialist Senior
Amerihealth Caritas —Washington, DC
- $92,200 - $125,600 a year
- Full-time
- Nursing
- RN License
- 5 years
- Disability insurance
- Health insurance
Director, Internal Audit Technology
Freddie Mac —McLean, VA
- $203,000 - $305,000 a year
- Full-time
- Office
- Fair chance
- IT
Senior Quality Inspector - First Shift
APR Consulting Inc —Manassas, VA
- $37.50 an hour
- Contract
- Computer science
- 6 years
- Computer Science
Quick Apply
Property Compliance Specialist- Cityside
Franklin Group —Alexandria, VA
- $20.00 - $41.21 an hour
- 5 years
- Computer literacy
- Travel
Quick Apply
12d
Senior Quality Assurance Automation Engineer
System One —McLean, VA
- Contract
- Management
- Bachelor's degree
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
Bilingual Auditor - Spanish
Federal Management Systems, In —Washington, DC
- $52,544.30 - $63,279.16 a year
- Part-time
- Hybrid work
- Spanish
- Management
- English
Quick Apply
Senior Auditor
TFC Consulting, Inc. —Rockville, MD
- From $90,000 a year
- Full-time
- Background check
- Microsoft Excel
- CPA
- Health insurance
- Dental insurance
Quick Apply
IT Staff Auditor
TFC Consulting, Inc. —Rockville, MD
- From $75,000 a year
- Full-time
- CPA
- Office
- Finance
- Health insurance
- Dental insurance
Quick Apply
Compliance Analyst III
Cherokee Federal —Washington, DC
- Full-time
- Writing skills
- Mid-level
- Office
- Health insurance
- Dental insurance
11d
IT Security Auditor – Senior Consultant
Guidehouse —Chantilly, VA
- 3 years
- Bachelor's degree
- Travel
- Health savings account
- Paid holidays
Contract Auditor- Full Performance TS/SCI with Poly REQUIRED
CGI Group, Inc. —Chantilly, VA
- $89,600 - $198,240 a year
- Contract
- Writing skills
- Research
- Mid-level
- Paid parental leave
- Paid holidays
IT Auditor II
Centene —Washington, DC
- $56,200 - $101,000 a year
- Full-time
- Remote
- CPA
- Computer Science
- Mid-level
- Paid holidays
- Health insurance
4d
IT Audit Associate - College Program
Kearney & Company —Alexandria, VA
- $60,000 - $78,000 a year
- Computer Science
- Office
- Master's degree
- Health savings account
- AD&D insurance
14d
Copyright Compliance Specialist
OVHcloud —Reston, VA
- $65,000 - $80,000 a year
- Full-time
- Office
- Bachelor's degree
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Quick Apply
7d
Junior Compliance Officer/Auditor
SGI Global, LLC —Washington, DC
- 8 hour shift
- Bachelor of Science
- Research
- Finance
Quick Apply
AI Compliance & Technology Analyst
Maximus —Tysons, VA
- $44,800 - $86,600 a year
- Mid-level
- 3 years
- Bachelor's degree
- Paid holidays
- Disability insurance
Internal Auditor I, Day Shift, Internal Audit
Adventist HealthCare —Gaithersburg, MD
- $55,982.75 - $81,182.40 a year
- Full-time
- Pass drug screening
- Bachelor's degree
- Business
- Free parking
- AD&D insurance
Auditor/Investigator II
Qlarant —Washington, DC
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Staff Auditor/Audit Associate - Entry Level
Williams Adley —Washington, DC
- $62,000 - $65,000 a year
- 8 hour shift
- Master's degree
- Analysis skills
- Bachelor's degree
- Paid training
- AD&D insurance
Quick Apply
Internal Audit Quality Assurance Senior
Freddie Mac —McLean, VA
- $100,000 - $150,000 a year
- Full-time
- CPA
- 5 years
- Office
6d

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compliance auditor jobs near herndon, va

Clinical Quality Performance Specialist Senior

Amerihealth Caritas -
Washington, DC

Apply Now

Job Details

Full-time
$92,200 - $125,600 a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Managed care
RN License
Managed care organization experience
Quality assurance experience within healthcare

Full Job Description

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Role Overview:

The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions. The position is grounded in data analytics skills in order to work collaboratively with providers, members, and internal departments across the organization to conduct ongoing processes that identify opportunities for quality, service, and clinical improvement. Manages activities related to plan accreditation, preventive health improvement, business analysis, and clinical and service quality improvement, including state withholds, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS). Also supports the organization’s quality improvement philosophy and promotes the use of quality improvement (QI) tools in decision-making.

Work Arrangement

Monday through Friday, 8:30 AM to 5:00 PM
Must work 4 out of 5 days a week at our AmeriHealth Caritas DC office located at 1201 Maine Avenue, S.W., Suite 1000, 10th Floor, Washington DC 20024.
Must reside in the DC metro area. Office is in close proximity to two metro stations.

Responsibilities:

Provide key data analysis and critical thinking for the development and assessment of quality improvement project interventions.
Develop reports and analyses, and present findings to the Quality Committee for input and direction.
Support HEDIS and Clinical Practice Guidelines.
Support accreditation activities and clinical quality performance improvement initiatives.
Perform ad-hoc analyses of underperforming processes by collaborating with Subject Matter Experts (SME) and internal stakeholders to define current processes and recommend improvements.
Remove barriers to ensure the successful completion of strategic quality projects.
Conduct analyses and provide summary reports to senior management.
Act as a primary liaison to internal departments requiring collaboration and coordination.
Support the development of new and existing staff by identifying learning and training opportunities.
Serve as a mentor to new hires, ensuring consistency in information and training.

Education & Experience:

Associate’s Degree or equivalent work experience required
Registered Nurse (RN) required
5 years of experience in clinical or service quality improvement required
5 years of experience in managed care required.
Experience working within a managed care plan organization
Experience managing National Committee of Quality Assurance (NCQA) accreditation surveys preferred
Prior experience with project facilitation and/or project management preferred
Knowledge base of HEDIS and how it relates to managed care

Licensure

Active and unencumbered Registered Nurse license in the District of Columbia

Skills & Abilities:

Intermediate or Expert proficiency in Microsoft Excel or other data tool
Knowledge and understanding of quality improvement functions within a Managed Care Organization (MCO) preferred
Excellent written and verbal communication skills
Strong organizational, analytical, and interpersonal skills
Ability to work effectively across all levels of the organization
Ability to design, develop, and implement projects addressing financial, quality, and service improvements

Our Comprehensive Benefits Package

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.

Discover more about us at www.amerihealthcaritas.com.

The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the Washington D.C. area. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training.

AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more.

The targeted hiring range for this role is expected to be between $92,200.00 and $125,600.00

Apply Now

Refine Your Search

compliance auditor jobs in herndon, va

Clinical Quality Performance Specialist Senior

Director, Internal Audit Technology

Senior Quality Inspector - First Shift

Property Compliance Specialist- Cityside

Senior Quality Assurance Automation Engineer

Bilingual Auditor - Spanish

Senior Auditor

IT Staff Auditor

Compliance Analyst III

IT Security Auditor – Senior Consultant

Contract Auditor- Full Performance TS/SCI with Poly REQUIRED

IT Auditor II

IT Audit Associate - College Program

Copyright Compliance Specialist

Junior Compliance Officer/Auditor

AI Compliance & Technology Analyst

Internal Auditor I, Day Shift, Internal Audit

Auditor/Investigator II

Staff Auditor/Audit Associate - Entry Level

Internal Audit Quality Assurance Senior

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