Auditor II
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Auditor II handling healthcare performance measure auditing at HSAG's audits department. Contributing to data validation and performance measurement projects with limited supervision in a remote setting.
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®).
- Serve as a lead auditor for non-HEDIS performance measure validation audits.
- 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 limited supervision.
- Lead project management tasks, including communication (written, phone, fax), under limited supervision.
- Communicate with project partners, consultants, subcontractors, and other entities on audit and performance measure validation-related projects, under limited 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 limited 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 with limited supervision.
- Develop and prepare written and data-oriented reports in Microsoft Word and Excel, under limited supervision. Serve as a major report contributor.
- 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 key reference to HSAG staff and clients on HEDIS measures and non-HEDIS performance measures as applicable.
- Represent HSAG in a professional manner at all times.
Requirements:
- Bachelor’s degree in business, science, or healthcare-related field. Master’s degree is preferred.
- At least three years of work experience in healthcare and a minimum of five years of work experience are required.
- 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 is required.
- Experience writing client reports is required.
- Contract management and/or project management experience is required.
Benefits:
- A comfortable work-life balance, including flexible work schedules.
- Three weeks of paid time off and 15 company-paid holidays where staff leave two hours early prior to each holiday to get a“jump start” on holiday festivities.
- HSAG offers a competitive benefit package which includes medical, dental, vision, tuition reimbursement, and 401(k).
Similar Jobs
Medical Coding Auditor
RCS Medical Coding Auditor responsible for auditing professional fee medical coding for compliance. Ensuring accuracy and providing education and feedback for continuous quality improvement.
Associate Director – Quality Compliance and Audits
Associate Director managing GMP and GDP audits within Gilead’s quality compliance team. Ensuring regulatory adherence across global manufacturing and supply network with leadership responsibilities.
Clinical DRG Auditor
Clinical DRG Auditor performing DRG validation reviews of medical records for Gainwell Technologies. Responsible for auditing accuracy and compliance within a remote setting.
Senior IT/GRC SOC 2 Auditor
Senior IT/GRC Auditor managing SOC 2 compliance engagements for a fast-growing audit firm in LATAM. Leading audit activities and driving high-quality assessment results.
SOC 2 Staff Auditor
Staff Auditor executing IT audit engagements for a cybersecurity compliance firm providing next-gen audit services. Leading and communicating findings in a remote capacity for LATAM clients.
Senior Auditor, SOC 2
Senior IT Auditor responsible for conducting audits in cybersecurity and compliance at Insight Assurance. Engaging with clients and managing a variety of IT audit projects remotely.
Internal Auditor
Internal Auditor supporting annual audit plan across regulated entities in EU, UK, Hong Kong, and Dubai. Collaborating in technology-enabled audit functions and providing regulatory compliance testing.
Claims Auditor, Billing Specialist
Claims Auditor evaluating medical billing processes and conducting front-end audits while working remotely. Ensuring compliance with payer requirements and collaborating with internal teams effectively.
Student Support Auditor
Student Support Auditor reviewing student interactions and ensuring high standards of support for pre-medical and medical students. Auditing service quality and identifying opportunities for improvement.
Internal Auditor
Internal Auditor at Workstreet validating compliance evidence within GRC platform for standards such as ISO 27001, HIPAA, and GDPR. Coordinate audits and provide insights on audit timelines and outcomes.
Auditor II, Retail
Retail Auditor II analyzing claims and identifying overpayments in the retail sector. Joining a global audit team focused on enhancing retail payment integrity.
Senior Specialist, Special Process Supplier Quality Auditor
Supplier Quality Engineer ensuring quality and reliability of components in aerospace manufacturing. Collaborating with suppliers and conducting assessments to enhance product quality and safety.
ISO 7101 Auditor – Healthcare, Veterinary Assurance
ISO 7101 Auditor supporting Assurance services across the Americas. Conducting audits and engaging with hospital executives for strategic insights.
Internal Operations Auditor
Internal Operations Auditor at Helpware focusing on operational efficiency. Designing audit frameworks and ensuring compliance with global standards in an AI-enabled environment.
Energy Auditor – Multi-Family and Commercial Buildings
Energy Auditor role focused on energy assessments and decarbonization projects in Canada. Collaborating on reports and client communications while conducting fieldwork and analysis.
Senior Internal Auditor
Senior Internal Auditor responsible for audits and regulatory compliance at Generali Global Assistance. Engaging with stakeholders and overseeing comprehensive auditing processes across the organization.
Senior Auditor, Stoploss Claim
Auditor handling medical stop loss claims for BlueCross BlueShield. Analyzing reimbursement and mitigating claims while providing excellent customer service.
Senior Compliance Specialist, Carrier Auditor
Senior Compliance Specialist auditing third-party motor carriers for eligibility in High Risk freight. Conducts on-site audits and addresses compliance assessments across logistics operations.
Senior Compliance Auditor
Senior Auditor responsible for clinical or physician compliance topics at Highmark Health. Leading audits and guiding auditors on compliance with Medicare and third-party payor requirements.
Senior SOX Auditor, Financial Services
Senior SOX Auditor responsible for SOX testing, control evaluations, and external audits in financial services organization. Collaborating with business partners to enhance compliance and control environments.