Healthcare Quality Management Auditor (Field-Based – Maricopa County, Arizona)

CVS HealthBuckeye, AZ
$43,888 - $85,068Remote

About The Position

The Healthcare Quality Management Auditor participates in the development and ongoing implementation of QM (quality management) Work Plan activities. This person will improve quality products and services by using measurement and analysis to process, evaluate, and make recommendations to meet QM objectives.

Requirements

  • 3+ years of experience in behavioral health.
  • Must reside in Maricopa County, Arizona.
  • Willingness to travel up to 75% of the time within Arizona.

Nice To Haves

  • Strong organizational skills.
  • Ability to audit independently.
  • Ability to learn quickly and remain adaptable amidst an evolving environment.
  • Strong relationship building skills.
  • Previous experience in an outpatient behavioral health environment.
  • Previous experience working with medical records and/or Electronic Health Records (EHR).

Responsibilities

  • Completes a variety of medical and clinical audits.
  • Conducts exit interviews with clinical and leadership staff to review audit results.
  • Assists with developing corrective action plans.
  • Develops audit tools for all populations.
  • Tracks completion of corrective action plans.
  • Completes data entry on all audit tools.
  • Participates in completing inter rater reliability and scoring guidelines.
  • Participates in QM meetings.
  • Performs other duties as needed.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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