RemoteLeaf Logo
Log in Sign up

Health Plan Auditor I

3 weeks ago
Anywhere
Full-time
Junior
QA Engineer
Data Science and Analytics
Apply Now
Health Services Advisory Group

Health Services Advisory Group

HSAG is a quality improvement organization that enhances healthcare quality for Medicare and Medicaid beneficiaries through reviews and interventions.

Health Care Providers & Services
251-1K
Founded 1979
View All Jobs 5

Description

  • Perform healthcare auditing, data validation, and performance measurement projects through implementation, operations, audit support, evaluation, and reporting stages.
  • Develop project work plans and timelines and adhere to project time and task schedules.
  • Oversee project tasks and guide coordination staff in oversight and maintenance of project files.
  • Lead client teleconferences and meetings and communicate with project partners, consultants, subcontractors, and other entities on audit and validation-related work, under supervision.
  • Maintain, tag, and sort project documents on SharePoint and HSAG networks following governance rules.
  • Prepare, document, and submit project deliverables through appropriate mechanisms (electronic, hard copy, direct data entry), under supervision.
  • Validate performance results and outcomes, lead primary source verification, and provide regular progress reports to DSAA management staff.
  • Support development of written and data-oriented reports and other project materials using Microsoft Word and Excel.
  • Conduct internet research including literature searches of clinical topics and present issues with recommended solutions; take corrective actions as indicated.
  • Conduct Internal Quality Control (IQC) monitoring to assess efficiency/effectiveness and identify opportunities for quality improvement.

Requirements

  • Bachelor’s degree in business, science, or a healthcare-related field.
  • At least 1 year of work experience in healthcare required; 2 years preferred.
  • At least 1 year of auditing experience required.
  • Proficient English communication skills, including public speaking, writing (spelling, composition, grammar), proofreading, and editing.
  • Proficient interpersonal skills and ability to work with multiple teams.
  • Experience with Microsoft Word, PowerPoint, Outlook, and Excel.
  • Experience conducting research via the Internet, including literature searches of clinical topics.
  • Ability to manage multiple projects simultaneously and meet agreed-upon deadlines.

Benefits

  • Salary range $62,000 - $70,000 per year.
  • Remote work (position listed as remote).
  • Opportunity to participate in healthcare educational and training presentations (professional development).
  • Inclusive employer (HSAG is an EEO Employer) and reasonable accommodations for applicants/employees.
  • Opportunity to give back to the community and a culture that emphasizes engagement and enjoyment at work.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

10x Genomics

Quality Assurance Manager - CLIA/CAP Laboratory

10x Genomics 1K-5K Biotechnology

10x Genomics is hiring a Quality Assurance Manager to build and oversee the quality infrastructure for its first CLIA/CAP-certified clinical laboratory as it brings single-cell and spatial genomic technologies into clinical practice.

United States Full-time Lead QA Engineer
$133k-$180k
42 minutes ago
BOLD

Module Lead, QA (AI/ML & Automation)

BOLD 251-1K Internet Software & Services

BOLD is hiring a senior QA leader to build and run testing for AI-driven products and data science workflows across the product lifecycle.

India Full-time Lead QA Engineer SDET (Software Development Engineer in Test)
Agile Cypress Generative AI LLM Machine Learning NLP Playwright Python REST API Scrum Selenium SEM SEO SOAP SQL UX Design XML
1 hour, 34 minutes ago
Relativity Space

Lead, Supplier Development Engineering

Relativity Space 251-1K Aerospace & Defense

Relativity Space is hiring a Supplier Development Engineer to support Terran R production by improving supplier performance, quality, and readiness across a rapidly scaling rocket program.

United States Full-time Lead QA Engineer
$128k-$176k
Assembly ERP
3 hours, 32 minutes ago
MWResource

GMS Systems Analyst (EMS)

MWResource 51-250 Construction & Engineering

MWResource is hiring a remote EMS Systems Support contractor to provide system administration, maintenance, and technical support for energy management and grid operations systems over a 12-month engagement.

United States Contract Senior QA Engineer Systems Administrator
$140k-$155k
Linux Oracle SQL
4 hours, 17 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers