Healthcare Data Analyst

4 weeks ago

Phoenix, United States Hire With Mike Full time
Job DescriptionJob Description

Auditor II

Location: Remote

 

SUMMARY

We are in search of talented individuals who are interested in a career in performance measure auditing as an Auditor II in the Audits department of Data Science & Advanced Analytics (DSAA) division.

 

UNIQUE BENEFITS

  • The Auditor II position benefits from the company's desire to grow its staff into future leaders of quality improvement in the nation. Auditors are provided formal training in an assortment of -related topics, including health policy, clinical concepts, overview of analytic methods, data sources, and management techniques.
  • A comfortable work-life balance, including half-day Fridays and flexible work schedules.
  • Three weeks of paid time off and 13 company-paid holidays where staff leave two hours early prior to each holiday just to get a “jump start” on holiday festivities.
  • Offers a competitive benefit package which includes medical, dental, vision, tuition reimbursement, 401(k) and an employee stock ownership plan

 

DESCRIPTION

The Auditor II is a key contributor to the Audits department’s work that spans the broad spectrum of healthcare performance measurement projects at the organization. Driven by intellectual curiosity and a passion for healthcare quality, this position performs—under limited supervision—healthcare auditing, data validation, and performance measurement projects through various stages including implementation, day-to-day operations, auditing, evaluation, and reporting. Activities include developing and managing work plans and timelines; leading targeted projects and tasks; guiding coordination and Auditor I staff in oversight and maintenance of project files and other project tasks; leading client teleconferences and meetings; performing online research on healthcare topics; leading performance measure validation audits; and providing regular progress reports to Data Science & Advanced Analytics management staff.

 

ESSENTIAL COMPETENCIES, DUTIES, AND RESPONSIBILITIES

 

  • Serve as a primary contributing member of the 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®)1 audit operations.
  • 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 company's corporate and federal networks following company's 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 company's staff and clients on HEDIS measures and non-HEDIS performance measures as applicable.
  • Represent the company in a professional manner at all times.

 

EDUCATION AND/OR EXPERIENCE

  • 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.
  • Medicaid experience is a must.

 

OTHER QUALIFICATIONS

  • Proficient 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.

 

 

 

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