[Hiring] Director, Audits @Health Services Advisory Group

Role Description

Are you passionate about improving the quality of healthcare? Are you ready to leverage your talents to make healthcare better for everyone? Do you want the opportunity to give back to your community? Do you want to have fun at work? Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!

The Director, Audits position is a key leader responsible for providing management oversight and leadership on HSAG’s broad spectrum of audit projects. The Director, Audits will provide operational oversight of all HSAG PMV and HEDIS® audit activities. On a daily basis, this position manages multiple large-scale and high-profile audit projects through various stages including implementation, day-to-day management, budgeting, forecasting, analysis, and reporting.

• Overseeing multiple teams in developing work plans and timelines
• Leading and overseeing project tasks
• Leading client teleconferences and meetings
• Presenting on healthcare topics
• Supervising and/or mentoring junior staff
• Providing regular progress reports to the Senior Executive Director, Medicaid Services
• Leading responses to requests for proposals (RFPs)
• Implementing formal training series for junior and senior staff

Qualifications

• Bachelor’s degree or equivalent work experience in the area of Medicaid managed care, HEDIS, performance measures, and/or audits
• Credentialed as an NCQA Certified HEDIS Compliance Auditor (CHCA) or proficiency in HEDIS reporting
• At least fifteen (15) years of work experience
• At least ten (10) years of healthcare experience, preferably Medicaid
• Budget and cost proposal development experience, including leading cost proposal development
• Contract development and review experience

Requirements

• Expertise in Medicaid, health plan operations, or managed care
• Expertise in evaluating medical and prescription drug claims and encounters; eligibility and enrollment; demographic; survey; and vital statistics data required
• Experience evaluating electronic health record and clinical data preferred
• Experience mentoring multiple staff
• Demonstrated ability to supervise a team including responsibility for monitoring and evaluating performance
• Excellent English/communication skills (i.e., spelling, composition, grammar, proofreading and editing)
• Strong public speaking skills
• Excellent interpersonal skills
• Proficient in Microsoft Word, PowerPoint, Excel, Outlook and Copilot
• Ability to lead several large projects simultaneously and lead multiple analytic teams working on disparate activities

Benefits

• A comfortable work-life balance, including flexible work schedules
• Three weeks of paid time off and 13 company-paid holidays
• HSAG offers a competitive benefit package that includes medical, dental, vision, tuition reimbursement, 401(k) and an employee stock ownership plan

Company Description

HSAG is nationally recognized as an industry leader in the areas of healthcare audits, data analysis, measure development, and survey research. We are in search of talented individuals who are interested in a leadership position in healthcare analytics and data science.