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Health Services Advisory Group Health Plan Auditor I- II - REMOTE in Columbus, Ohio

Job Details The Auditor I is a contributor to the Audits department's work that spans the broad spectrum of healthcare performance measurement projects at HSAG. Driven by intellectual curiosity and a passion for healthcare quality, this position performs-under supervision-healthcare auditing, data validation, and performance measurement projects through various stages including implementation, day-to-day operations, audit support, evaluation, and reporting. Activities include developing work plans and timelines; overseeing project tasks; guiding coordination staff in oversight and maintenance of project files; leading client teleconferences and meetings; performing online research on healthcare topics; leading primary source verification; validating performance results and outcomes; and providing regular progress reports to Data Science & Advanced Analytics management staff. Details regarding potential project assignments will be discussed with potential candidates during the interview process. Essential Competencies, Duties and 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®) [1] measures and non-HEDIS performance measures as applicable. * Represent HSAG in a professional manner at all times. [1] HEDIS Certified Measures® is a registered trademark of the National Committee for Quality Assurance (NCQA). Compensation: 65000 - 75000 DOE Job Requirements: Education and/or Experience * Bachelor's degree in business, science, or healthcare-related field. * A minimum of 1 year of experience working with health care provider data is required. * Experience with managed care provider network adequacy monitoring and/or reporting is preferred. Other Qualifications * Proficient English/communication skills (i.e., public speaking, spelling, composition, grammar, proofreading and editing). * ProfApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjk0OTY2LjEwNTA4QGhzYWdjb21wLmFwbGl0cmFrLmNvbQ

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