Provider Quality Auditor

Location: Remote
Compensation: Hourly
Reviewed: Thu, May 08, 2025
This job expires in: 4 days
Salesforce MS Excel HEDIS

Job Summary

A company is looking for a Provider Quality Auditor.

Key Responsibilities
  • Support complex quality issues by communicating effectively with doctors and staff
  • Initiate activities to monitor, evaluate, and maintain the quality of care and services provided to members
  • Prepare summary reports for the Optometry and Medical Directors and quarterly reports for the Quality Management Committee
Required Qualifications
  • Bachelor's Degree in Business or a related field or equivalent experience
  • 2+ years of experience in managed care or quality management, particularly in a healthcare setting
  • Experience with Salesforce and MS Excel; knowledge of HEDIS is preferred
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