[Hiring] HP LPN Auditor @Banner Health

Role Description

As an HP LPN Auditor, you will independently triage incoming referrals, manage case assignments, and oversee cases through resolution while ensuring compliance with AHCCCS, Medicare, and Medicaid requirements. This role partners closely with internal teams and external stakeholders to support accurate case management and regulatory compliance. The ideal candidate is detail-oriented, able to work autonomously, and committed to delivering high-quality outcomes. Comprehensive one-on-one training is provided by experienced investigators to support success in the role.

Your work shifts will be Monday-Friday 8:00am-4:30pm. This is a remote opportunity. CANDIDATES MUST RESIDE IN THE STATE OF ARIZONA TO BE CONSIDERED.

Please note Banner Staffing Services roles do not offer medical benefits or paid time off accrual. These roles are assignment based with no guarantee of hours and assignments can conclude at any time. MUST RESIDE IN THE STATE OF AZ. If this role sounds like the one for you, Apply Today!

Qualifications

• Current, unrestricted State of Arizona LPN license.
• Two years of experience, preferably in a family practice or pediatric medical office setting.
• Ability to travel to all contracted sites, which may necessitate occasional overnight stays.
• Excellent verbal and written communication skills.
• Strong collaborative skills (ability to work with a team or individually).
• Aptitude for accuracy with attention to detail.
• Knowledge and understanding of HEDIS specifications.
• Strong leadership skills (can construct a vision, thinks creatively to solve issues, and is goal-oriented).
• Ability to maintain strict confidentiality along with good problem-solving and investigative skills.

Requirements

• Ability to set appropriate priorities relative to workload in a fast-paced environment.
• Implement standards and data sources, research tools, and other data collection instruments.
• Collect, analyze, describe, evaluate data, and write reports.
• Implement and track the effectiveness of process improvement.
• Recognize risk management concerns.
• Review and extract significant data from medical records.
• Knowledgeable of the National Committee for Quality Assurance (NCQA), Health Plan Employer Data Information Set (HEDIS), Arizona Health Cost Containment System (AHCCCS), and Centers for Medicare and Medicaid Services (CMS) standards and reporting requirements.

Benefits

• Estimated Pay Range: $28.28 - $47.13 / hour.
• Banner Health is committed to pay equity and transparency.
• The posted compensation range is a reasonable estimate based on the circumstances at the time of posting.

Company Description

Our organization supports a drug-free work environment.

EEO/Disabled/Veterans