[Remote] Health Plan Auditor I

Remote, USA Full-time
Note: The job is a remote job and is open to candidates in USA. Health Services Advisory Group (HSAG) is transforming the delivery of healthcare in the United States. The Health Plan Auditor I will contribute to healthcare performance measurement projects by performing auditing, data validation, and supporting project management tasks under supervision. Responsibilities • Serve as a contributing member of HSAG’s Audits department within DSAA • 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 supervision • Lead project management tasks, including communication (written, phone, fax), under supervision • Communicate with project partners, consultants, subcontractors, and other entities on audit and performance measure validation-related projects, under 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 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 from copy, rough draft, or other prescribed instructions • Support development of written and data-oriented reports in Microsoft Word and Excel, under supervision • 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 reference to HSAG staff and clients on Healthcare Effectiveness Data and Information Set (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 one year of work experience in healthcare is required • At least one year of auditing 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 • Two years of work experience in healthcare is preferred 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 Apply tot his job
Apply Now

Similar Jobs

MEDICAL AUDITOR II (PROGRAM INTEGRITY AUDITOR II) in Chicago, IL

Remote, USA Full-time

[Hiring] Auditor, ACO Coding @Cano Health LLC

Remote, USA Full-time

Billing and Coding Auditor (REMOTE)

Remote, USA Full-time

[Remote] REMOTE - Compliance Analyst III (Must Live in Indiana) - R10496

Remote, USA Full-time

Healthcare Analyst & Auditor (req-150)

Remote, USA Full-time

Senior Healthcare Compliance Officer, Revenue Cycle Management

Remote, USA Full-time

Sr. Healthcare Compliance Analyst

Remote, USA Full-time

Vyaire Medical REMOTE Healthcare Compliance Manager in Detroit, Michigan

Remote, USA Full-time

Hormone Health Consultant (Fully Remote - Vermont - United States)

Remote, USA Full-time

Global Strategic Healthcare Consultant - Remote within the US Northeast

Remote, USA Full-time

Allstate Sales Agent (Pickering)

Remote, USA Full-time

Experienced Full Stack Software Engineer – Web & Cloud Application Development

Remote, USA Full-time

Experienced Customer Experience Banker (Part Time 30-35hrs) – Financial Concierge and Relationship Builder at blithequark

Remote, USA Full-time

Registered Nurse (RN)- PACU

Remote, USA Full-time

[Remote] Supply Chain Optimization Analyst

Remote, USA Full-time

Experienced Full Stack Remote Data Entry Specialist – Cloud-Based Operations and Administration at Blithequark

Remote, USA Full-time

[Remote] .NET Developer (Umbraco) (Remote, Full-Time) [AS193]

Remote, USA Full-time

**Experienced Full Stack Data Entry Specialist – Remote Logistics and Supply Chain Management**

Remote, USA Full-time

Business Contract Management, Revenue Operations (RevOps Team) - Capital One Software - (Remote)

Remote, USA Full-time

**Experienced Customer Support Associate – Web & Cloud Application Support**

Remote, USA Full-time
Back to Home