[Remote] Health Plan Auditor I
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 https://www.hsag.com/.
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