Home
/
Comprehensive
/
Sr. Health Plan Auditor - REMOTE - 1043/712/3703_43067705237_0-3819
Sr. Health Plan Auditor - REMOTE - 1043/712/3703_43067705237_0-3819-July 2024
Phoenix
Jul 12, 2026
About Sr. Health Plan Auditor - REMOTE - 1043/712/3703_43067705237_0-3819

  This job was posted by https://www.azjobconnection.gov : For moreinformation, please see: https://www.azjobconnection.gov/jobs/6306485Job Details

  Are you passionate about improving the quality of healthcare?

  Are you ready to leverage your talents to make healthcare better foreveryone?

  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 ofaudits, data analysis, measure development, and patient satisfactionsurveys. We are in search of talented individuals who are interested ina career in healthcare performance measure auditing as an Auditor,Sr. in HSAG\'s Audits department within the Data Science & AdvancedAnalytics division. Together we can spread positive change to makehealthcare better.

  The Auditor, Sr. position benefits from HSAG\'s desire to grow itsstaff into future leaders of healthcare quality improvement in thenation. HSAG\'s auditors are provided formal training in an assortmentof healthcare-related topics, including health policy, clinicalconcepts, overview of analytic methods, data sources, and managementtechniques.

  HSAG offers:

  A comfortable work-life balance, and flexible work schedules.Three weeks of paid time off and 15 company-paid holidays wherestaff leave two hours early prior to each holiday to get a \"jumpstart\" on holiday festivities.HSAG offers a competitive benefit package which includes medical,dental, vision, tuition reimbursement and 401(k).

  The Auditor, Sr. is a primary contributor to the Audit department\'swork that spans the broad spectrum of healthcare performance measurementprojects at HSAG. Driven by intellectual curiosity and a passion forhealthcare quality, this position performs-under supervision-healthcareauditing, data validation, and performance measurement projects throughvarious stages including implementation, day-to-day operations, auditsupport, evaluation, and reporting. Activities include independentlydeveloping work plans, report templates, and timelines; independentlyleading contracts and project tasks; guiding coordination and Auditor I,II, and III staff in oversight and maintenance of project files andother project tasks; leading client teleconferences and meetings;performing online research on healthcare topics; leading performancemeasure validation audits; and providing regular progress reports toData Science & Advanced Analytics management staff.

  Details regarding potential project assignments will be discussed withpotential candidates during the interview process.

  Essential Competencies, Duties and Responsibilities

  Serve as a primary contributing member of HSAG\'s Audits departmentwithin DSAA.

  Serve as a lead auditor for all performance measure validationaudits.

  Lead and manage multiple client contracts as primarypoint-of-contact and subject matter expert.

  Mentor and train junior staff with limited supervision.

  Provide oversight of supplemental Healthcare Effectiveness Data andInformation Set (HEDIS)

  [1]

  audit operations.

  Independently act in a liaison capacity between appropriatemanagement personnel and staff, transmitting decisions andinformation to organizational units as appropriate, as well asoutside agencies and organizations.

  Lead project management tasks, including communication (written, phone,fax).

  Communicate directly and manage project partners, consultants,subcontractors, and other entities on audit and performance measurevalidation-related projects.

  Maintain, tag, and sort documents for assigned projects on appropriateSharePoint team ites and HSAG\'s corporate and federal networksfollowing HSAG prescribed governance rules.

  Prepare project deliverables and lead documentation and submission ofdeliverable using the appropriate mechanism (i.e., electronic, hardcopy, direct data entry etc.).

  Develop and adhere to project time and task schedules, identifyopportunities to improve the project process, and develop qualityimprovement activities accordingly.

  Meet agreed-upon deadlines in a timely fashion and independently andaccurately prepare and type deliverables, reports, various projectdocuments, letters, and other material.

  Lead and complete the development of written and data-oriented reportsin Microsoft Word and Excel.

  Conduct research via the Internet including literature searches ofclinical topics as assigned.

  Participate in and lead pertinent healthcare educational and trainingpresentations as required.

  Conduct Internal Quality Control (IQC) monitoring regardingefficiency/effectiveness of activities conducted. Present issues andrecommended solutions and take corrective actions as indicated.

  Serve as a subject matter expert to HSAG staff and clients on HEDISmeasures and non-HEDIS performance measures as applicable.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Master Tradesperson 2 - Electrician - 17608
Requisition Number: 17608 Required Travel: 51 - 75% Employment Type: Full Time/Hourly/Non-Exempt Security Clearance: Ability to Obtain Level of Experience: Mid This opportunity resides with Fleet Sus
Registrar PRN
About Us Lifepoint Health’s Central Kentucky market is comprised of four acute care, community-based hospitals, with over 50 outpatient clinics that provide comprehensive healthcare in the Bluegrass
Software Engineer 2 - Azure Storage
Have you ever imagined the world with an infinite amount of storage available and accessible to everyone? A place where everyone in the world can easily access their books/music/photos/video/any data
Transportation Engineer Associate
Transportation Engineer Associate Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4353936) Apply  Transportation Engineer Associate Salary $60,548.80 - $93,766.40 Annually Location
Coating Operator III
Description: Coating Operator III is responsible for safely operating the coating equipment and to ensure Coating Operation is completed in adherence to Standard Operating Procedures and maintaining
SailPoint Developer Senior Consultant (Delivery Center/Remote)
Are you looking to elevate your cyber career? Your technical skills? Your opportunity for growth? Deloitte's Government and Public Services Cyber Practice (GPS Cyber Practice) is the place for you! O
Product Demonstrator Part Time
Job Posting Overview Weekly Pay Flexible Schedule Fun Work Environment Career Advancement Opportunities Online and/or on-the-job training This part time associate samples products for suppliers withi
Hiring Full-Time Electricians - Year Long Work
We are looking to hire permanent electricians of various skill and experience to work on a mixture of new construction and remodel commercial projects in the Greater Sheboygan area. We currently are
Senior Software Engineer (Full Stack)
At U.S. Bank, we’re on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succe
Financial Data Analyst
Kforce has a client that is seeking a Financial Data Analyst in Saint Louis, MO.Responsibilities: Manage day-to-day tasks related to finance and accounting data analytics Support Finance & Accoun
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved