Walker Healthforce is seeking an experienced HEDIS Quality Auditor to support a leading healthcare client based in New Jersey. This 6-month contract opportunity offers a unique chance to utilize your skills and expertise in a remote setting. As a HEDIS Quality Auditor, you will play a critical role in ensuring the quality of healthcare services and promoting excellence in patient care.
Key Responsibilities:
- Conduct on-site reviews at participating provider offices to assess environment, quality of physician's medical records, and compliance with documentation standards
- Prepare and present findings to physicians, providing education and discussing opportunities for improvement
- Provide data support services to facilitate quality improvement and health management initiatives
- Assist the Quality Management department with special projects and focused clinical studies
- Develop and implement corrective action plans to address audit findings
- Collaborate with internal teams to train staff, providers, and vendors on programs and audit standards
Requirements:
- 3-5 years of related business experience in the healthcare industry
- Practical Nurse License or active New Jersey Registered Nurse License
- Valid Motor Vehicle driver's license and access to an automobile
- Knowledge of managed care principles, medical terminology, and PC software
- Excellent verbal and written communication, organizational, and analytical skills
- Strong problem-solving and decision-making abilities
Preferred Qualifications:
- Knowledge of URAC accreditation standards and HEDIS principles
- Experience in health management or patient education
What We Offer:
- Competitive compensation package
- Weekly pay via Direct Deposit
- Medical, Dental, and Vision benefits available
- 401k options
Why Work with Walker Healthforce?
- Access to our top-ranked team of recruiting and placement specialists
- Continuous support from a dedicated engagement manager
- Professional resume development and interview preparation
Walker Healthforce is an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status, or protected veteran status.
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