Job Summary

A health insurance company is searching for a person to fill their position for a Remote Senior Healthcare Quality Audit Professional.

Core Responsibilities of this position include:

• Escalating the case to HMD and Manager
• Identifying and determining the initial risk stratification level
• Accurately identifying the appropriate records for retrieval

Qualifications for this position include:

• Bachelor's degree or equivalent work experience
• Registered Nurse
• 5 years or more of clinical experience
• Experience with quality of care investigations
• Understanding of healthcare quality measures STARS, HEDIS, etc
• Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint