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Senior Manager, Quality Audit
@Includedhealth
[Hiring] Senior Manager, Quality Audit @Includedhealth
Apr 12, 2025 - Includedhealth is hiring a remote Senior Manager, Quality Audit. 💸 Salary: $118,640 - $217,854 + equity + benefits. 📍Location: USA.
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
The Senior Manager of Quality Audit leads Included Health's centralized audit team to support client audits of our care and services. This team guides the Quality Audit Program and provides oversight of continuous readiness, real-time audit coordination/support, and post-audit activities associated with scheduled and ad-hoc client audits. The Senior Manager of Quality Audit will report to the Director of Operations Performance and is a people manager.
Responsibilities
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Continuous Audit Readiness:
- Maintain a deep knowledge of customer contracts, performance guarantees, and current risk
- "Test the system" for audit readiness to identify gaps
- Ensure organization is knowledgeable on audit evaluation criteria and partner with training, product, operational teams, and clinical teams to ensure readiness to meet audit criteria
- Coordination with training, clinical operations, and quality and operational leadership to train on knowledge gaps identified through tracers
- Drive toward automation for Included Health's "standard" audits
- Ensure our audit methodology is compliant
-
Audit Coordination and Support:
- Drive creation of materials utilized in audits - both internal and customer-facing
- Create audit plan, which will include roles and responsibilities, timeline, tasks, risks, issues, and goals
- Schedule and run internal meetings associated with an audit
- Pull relevant audit data as defined by audit requirements (e.g., calls, chats, cases, etc.)
- If onsite, coordinate catering and customer transportation
- Send leadership/executive status updates leading up to and during audit
- Orchestrate meetings with external auditors - prepare agendas, coach speakers, etc.
-
Post-audit Activities:
- Manage remediation plan, pulling in appropriate stakeholders, prioritizing findings, and holding team accountable to tasks and timelines
- Document audit findings in an executive summary which will include recommendations for operational, clinical, product, and technology teams
- Support Client Success Executive in post-audit activities
-
Leadership:
- Regular communication with Senior Leadership on audit status and project plans
- Oversee Quality Audit Specialist(s) to execute on day-to-day program activities
- Responsible for the career development of Quality Audit Specialist team
Qualifications
- Bachelors Degree
- 3+ years working for a benefit consultancy firm OR, 3+ years working in healthcare or healthcare adjacent internal audit readiness
- 5+ years project management experience - specifically managing cross-functional projects
- 5+ years leadership experience managing project managers and/or audit consultants
- 2+ years experience working with healthcare data and/or quality metrics
- Lead and engage teams through high-pressure situations
- Appetite for technology, standardization, and leveraging automation, where possible
- Strong written and verbal communication with experience presenting to internal leadership and (desired) external clients/stakeholders
- Secure cross-functional commitments to deliver key items on the audit roadmap
- Ability to travel 15%
Physical/Cognitive Requirements
- Ability to remain seated in a stationary position for prolonged periods.
- Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, computer, and other office-related equipment.
- No heavy lifting is expected, though occasional exertion of about 20 lbs. of force (e.g., lifting a computer/laptop) may be required.
- Ability to interact with leadership, employees, and members in an appropriate manner.
Compensation
- Zone A: $118,640 - $167,580 + equity + benefits
- Zone B: $130,504 - $184,338 + equity + benefits
- Zone C: $142,368 - $201,096 + equity + benefits
- Zone D: $154,232 - $217,854 + equity + benefits
Benefits
- Remote-first culture
- 401(k) savings plan through Fidelity
- Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
- Full suite of Included Health telemedicine (e.g., behavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents
- Generous Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
- 12 weeks of 100% Paid Parental leave
- Family Building Benefit with fertility coverage and up to $25,000 for Surrogacy & Adoption financial assistance
- Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption, or fertility treatment)
- 11 Holidays Paid with one Floating Paid Holiday
- Work-From-Home reimbursement to support team collaboration and effective home office work
- 24 hours of Paid Volunteer Time Off ("VTO") Per Year to Volunteer with Charitable Organizations
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
All others
All others
|
Salary
💸
$118,640 - $217,854 + equity + benefits
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Apr 12, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
