78 applicants

Company

Included Health · 5 hours ago

Quality Audit Specialist

United States

Full-time

Remote

Mid Level

$64K/yr - $83K/yr

3+ years exp

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Responsibilities

Use resources and tools to "test the system" for audit readiness and identify gaps in real time

Communicate insights to Member Care and Clinical leadership

Provide education and training on audit processes and procedures to teams, ensuring readiness to meet audit criteria

Provide education and guidance regarding gaps surfaced in audits and call listening sessions, in partnership with Member Care Operations, Member Care and Clinical leadership

Deploy the audit playbook for each audit

Distribute materials supporting audit activity, both internally- and client-facing

Lead internal meetings associated with an audit

Document insights and findings throughout the audit lifecycle

Support remediation plan through identification of and collaboration with designated remediation owners plus tracking to tasks and timelines

Document audit findings to include recommendations for operational, clinical, product, go to market and other teams

Track and trend remediation efforts coupled with findings across all client audits

Support involved leadership teams in post-audit activities

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Quality AnalysisData InterpretationProject ManagementQuality Improvement FrameworksData ReportingGoogle WorkplaceClinical ExperienceCustomer Service ExcellenceMac OS

Required

3+ years of quality or data analysis and interpretation experience

College degree or equivalent experience

Clinical (nursing, pharmacy, or PA) experience

Experience managing projects

Experience using quality improvement frameworks and leading quality improvement efforts

Passionate about excellence in customer service

Ability to interpret data and find actionable insights

Ability to create reports, dashboards and visualizations

Experience with Google Workplace platform and Mac OS

Benefits

Remote-first culture

401(k) savings plan through Fidelity

Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)

Paid Time Off ("PTO") and Discretionary Time Off ("DTO")

12 weeks of 100% Paid Parental leave

Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.

Work-From-Home reimbursement to support team collaboration home office work