Healthcare Quality Management Auditor

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Engage in the creation and continuous execution of QM Work Plan initiatives.

• Enhance the quality of products and services through effective measurement and analysis.

• Analyze and assess audit information, providing recommendations to achieve QM goals.

• Conduct a range of medical and clinical audits.

• Facilitate exit interviews with clinical and leadership personnel to discuss audit findings.

• Aid in the formulation of corrective action plans.

• Create audit instruments for all demographics.

• Monitor the execution of corrective action plans.

• Perform data entry related to all audit instruments.

• Participate in inter-rater reliability assessments and scoring standards.

• Attend QM meetings.

• Carry out additional tasks as required.

⛳️ Requirements

• Minimum of 3 years of experience in the behavioral health sector.

• Must be a resident of Maricopa County, Arizona.

• Availability to travel up to 75% of the time within Arizona.

• Excellent organizational abilities.

• Capability to conduct audits independently.

• Quick learner with the ability to adapt in a changing environment.

• Strong skills in relationship building.

• Prior experience in an outpatient behavioral health setting.

• Familiarity with medical records and/or Electronic Health Records (EHR).

• Bachelor’s degree or equivalent experience (4 years of relevant experience plus a high school diploma or GED).

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, subject to eligibility.

• Comprehensive benefits package for full-time employees and their families.