Provider Quality Auditor

Job Summary

A company is looking for a Provider Quality Auditor.

Key Responsibilities

• Support complex quality issues by communicating effectively with doctors and staff
• Initiate activities to monitor, evaluate, and maintain the quality of care and services provided to members
• Prepare summary reports for the Optometry and Medical Directors and quarterly reports for the Quality Management Committee

Required Qualifications

• Bachelor's Degree in Business or a related field or equivalent experience
• 2+ years of experience in managed care or quality management, particularly in a healthcare setting
• Experience with Salesforce and MS Excel; knowledge of HEDIS is preferred