Healthcare Auditor II

About the role

HSAG is nationally recognized as an industry leader in the areas of audits, data analysis, measure development, and patient satisfaction surveys. We are in search of talented individuals for a career in healthcare performance measure auditing as an Auditor II in HSAG’s Audits department within the Data Science & Advanced Analytics division. This role is a key contributor to projects spanning healthcare performance measurement, performing auditing, data validation, and performance measurement tasks under limited supervision.

Benefits

• Flexible work schedules and a comfortable work-life balance
• Three weeks of paid time off and 15 company-paid holidays (staff leave two hours early prior to each holiday)
• Competitive benefit package including medical, dental, vision, tuition reimbursement, and 401(k)
• Formal training in healthcare-related topics such as health policy, clinical concepts, analytic methods, data sources, and management techniques

Responsibilities

• Serve as a key member of HSAG’s Audits department within DSAA
• Assist in the management of client contracts and lead small projects and tasks
• Assist in the management of supplemental Healthcare Effectiveness Data and Information Set (HEDIS®) audit operations
• Serve as a lead auditor for non-HEDIS performance measure validation audits
• Act as a liaison between management, staff, and external agencies or organizations
• Lead project management tasks, including communication (written, phone, fax)
• Communicate with project partners, consultants, subcontractors, and other entities on audit and performance measure validation projects
• Maintain, tag, and sort project documents on SharePoint and HSAG networks following prescribed governance rules
• Prepare and submit project deliverables using appropriate mechanisms (electronic, hard copy, direct data entry)
• Develop and adhere to project timelines, identify process improvements, and implement quality improvement activities
• Meet deadlines and prepare deliverables, reports, and project documents accurately
• Develop and prepare written and data-oriented reports in Microsoft Word and Excel
• Conduct research via the Internet, including literature searches on clinical topics
• Participate in healthcare educational and training presentations
• Conduct Internal Quality Control (IQC) monitoring, present issues, and recommend solutions
• Serve as a key reference to HSAG staff and clients on HEDIS and non-HEDIS performance measures
• Represent HSAG professionally at all times

Requirements

• Bachelor’s degree in business, science, or healthcare-related field (Master’s degree preferred)
• At least three years of work experience in healthcare and a minimum of five years of total work experience
• At least two years of auditing experience and one year of experience as a lead auditor, with at least one year in HEDIS auditing and/or data validation
• Knowledge of performance measures and experience writing client reports
• Contract management and/or project management experience

Skills

• Proficient English/communication skills (public speaking, spelling, composition, grammar, proofreading, and editing)
• Strong interpersonal skills
• Experience with Microsoft Word, PowerPoint, Outlook, and Excel
• Ability to conduct research via the Internet
• Ability to handle multiple projects simultaneously and work with multiple teams

Work Environment

The work environment is typical of an office setting. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.