Health Plan Auditor I jobs in United States
cer-icon
Apply on Employer Site
company-logo

Health Services Advisory Group, Inc. (HSAG) · 7 hours ago

Health Plan Auditor I

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.

Health CareHospital

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

Qualification

Healthcare auditingData validationProject managementHEDIS measuresMicrosoft ExcelResearch skillsCommunication skillsInterpersonal skills

Required

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

Preferred

Two years of work experience in healthcare is preferred

Company

Health Services Advisory Group, Inc. (HSAG)

twittertwitter
company-logo
Health Services Advisory Group, Inc.

Funding

Current Stage
Growth Stage

Leadership Team

leader-logo
Gretchen Thompson
Chief Operating Officer, State Services
linkedin
leader-logo
Jen Goodman
Chief Human Resources Officer
linkedin
Company data provided by crunchbase