Senior Quality Auditor

Job Summary

A company is looking for a Senior Provider Quality Auditor.

Key Responsibilities

• Support leadership in coordinating and overseeing the Quality Management Program, including medical record audits and quality trend analysis
• Facilitate quality assurance reviews and collaborate with clinical reviewers to educate contracted doctors on compliance with care standards
• Analyze audit findings, present results to leadership, and maintain documentation for quality assurance metrics and corrective action plans

Required Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Public Health, or a related field, or equivalent experience
• Minimum of four (4) years of quality assurance experience
• Strong knowledge of provider relations and quality management systems preferred
• Ability to handle sensitive information with integrity and confidentiality
• Commitment to continuous process improvement