Centauri Health Solutions, Inc · 7 hours ago
Risk Adjustment Auditor I, Remote
United States
Full-time
Remote
New Grad, Entry LevelCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs. They are seeking a Risk Adjustment Auditor I to conduct service line audits, ensure compliance with policies, and support operational process improvements.
Data ManagementHealth CareHospitalRisk ManagementSoftware
Responsibilities
Conducts operational and system audits
Creates and implements QA programs to support service line needs with Leadership support
Good knowledge of industry standard quality tools (ex. Acceptance Sampling, Control Charting, Cp, Cpk, Six Sigma, Lean Principles, etc.)
Good Statistical Process Control knowledge (Pareto Diagrams, cause-and-effect, process flow diagrams, histograms, tests for normality)
Good applied business statistics (probability distributions, estimation, confidence intervals and hypothesis testing)
Reviews internal and external records to ensure accuracy and conformance
Identifies and analyzes process non-conformities
Creates and implements QA programs to support service line needs
Establishes, verifies and updates appropriate benchmarks
Creates queries, extracts data and develops ad hoc reporting
Uses queries and data to monitor service quality and process
Supports business process improvement initiatives
Performs internal consulting
Understands and agrees to role-specific information security access and responsibilities
Ensures safety and confidentiality of data and systems by adhering to the organizations information security policies
Reads, understands, and agrees to security policies and complete all annual security and compliance training
Qualification
Required
Bachelor's Degree or equivalent experience
Knowledge of industry standard quality tools
Statistical Process Control knowledge
Account Processing/Service line knowledge
Strong analytical and critical thinking skills
Strong problem-solving skills
Excellent communication and interpersonal skills
Benefits
Generous paid time off
A matching 401(k) program
Tuition reimbursement
Annual salary reviews
A comprehensive health plan
The opportunity to participate in volunteer activities on company time
Development opportunities
This position is bonus eligible in accordance with the terms of the Company’s plan.
Company
Centauri Health Solutions, Inc
Centauri Health Solutions aims to attract and retain the industry’s top talent as we continue to create and deliver the most flexible and innovative tools in the market.
Founded in 2014
1001-5000 employees
H1B Sponsorship
Centauri Health Solutions, Inc has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Late StageTotal Funding
$118.44MKey Investors
SV Health InvestorsSilversmith Capital Partners
2020-01-09Acquired
2018-06-29Series Unknown· $18.19M
2017-02-10Series Unknown· $50.25M
Leadership Team
Michelle Miller
Chief Technology Officer
K
Kai Tsai
EVP of Strategic Business Development
Recent News
Company data provided by crunchbase