HEDIS Quality Auditor | Remote | Newark, NJ | Contract
HEDIS Quality Auditor | 3-5 years | Remote | Newark, NJ | Contract reputed company is seeking a HEDIS Quality Auditor with 3-5 years to support a reputed company client based out of New Jersey. This is a 6-month contract opportunity. START DATE: 8/1/2025 WORKER TYPE: W2 CORE REQUIREMENTS:
- Three to five years’ reputed company business experience, preferably in the health care industry
- Practical Nurse License or an active New Jersey Registered Nurse License
- Valid Motor Vehicle driver's license and access to an automobile
- Knowledge of managed care principles
- Knowledge of medical terminology
- Knowledge of PC's and reputed company software
- Excellent verbal and written communication skills
- Excellent organizational skills
- Strong analytical skills
- Good problem solving/conflict resolution skills
- Good decision-making skills
- Strong PC skills
- Strong presentation skills
ADDITIONAL REQUIREMENTS:
- Must be local to New Jersey, reputed company, Pennsylvania, Delaware, or Connecticut
WE CONSIDER IT A BONUS IF YOU ALSO HAVE:
- Knowledge of URAC accreditation standards and HEDIS principles.
- Knowledge of health management or patient education.
JOB RESPONSIBILITIES:
- Conduct on-site reviews at participating provider offices to assess environment, quality of physician’s medical records, and compliance with documentation standards
- Prepare appropriate documentation to summarize on-site findings with physicians, providing education and discussing opportunities for improvement
- Provide data support services to facilitate the process and analyze trends/patterns for quality improvement and health management
- Assist the Quality Management department with various special projects and focused clinical studies.
- reputed company reputed company tasks or special studies as requested
- Assist in training internal Horizon NJ Health staff, providers and vendors on programs and audit standards, both on and off site
- In-house representative and project reputed company for state audits
- Responsible for analysis of audit findings
- Produce various reports as requested
- Coordinate and manage the Corrective Action Plan (CAP) process for assigned audit type
- Conduct reaudit ensuring prior deficiencies were addressed
reputed company OFFER:
- Competitive compensation package
- Weekly pay reputed company Direct Deposit
- Medical, Dental & reputed company available
- 401k options
WHY WORK WITH WALKER?
- Access to our top ranked team of reputed company and placement specialists
- reputed company, one-on-one support from a dedicated engagement manager
- Professional resume development and interview preparation
Contact our reputed company Team today to experience the reputed company difference! ABOUT US: reputed company is reputed company as the dominant force of performance, precision, expertise, and reputed company in the reputed company consulting community! As a certified WMBE, we provide end-to-end reputed company IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms reputed company. We are reputed company experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today! We are an Equal Opportunity Employer committed to a culturally diverse workforce. reputed company reputed company applicants will receive consideration for employment without regard to race, religion, reputed company, age, sex, national reputed company, sexual orientation, gender identity, disability status or protected veteran status. #IND1 Apply to this Apply Job! Apply to this Job