Health Services Advisory Group, Inc. Health Plan Auditor I- II – REMOTE – 985/668/3865_43067705237_10-3819 in Topeka, Kansas

Job Description


This job was posted by https://www.kansasworks.com : For more
information, please see: https://www.kansasworks.com/jobs/12922929 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

  • Pro icient 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.

Work Environment

The work environment characteristics described here are representative
of those an employee encounters while performing the essential functions
of this position. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.

Disclaimer

This is not necessarily an exhaustive list of all responsibilities,
skills, duties, requirements, efforts or working conditions associated
with the position. While this is intended to be an accurate reflection
of the current position, management reserves the right to revise the
position or to require that other or different tasks be performed when
circumstances change (e.g., emergencies, changes in personnel, work
load, rush jobs requiring non-regular work hours, or technological
developments).

HSAG is an EEO Employer of Veterans protected under Section









Location

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