Medical Management Auditor

  • location: Tempe, AZ
  • type: Permanent
  • salary: $55,000 - $85,000 per year

job description

Medical Management Auditor

Seeking an experienced Medical Management Auditor for a direct hire opportunity in Tempe, AZ! Position Purpose:  Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes Experience/Qualifications: - Bachelor’s degree in related field or equivalent experience -Certification/Current State Nursing License Location: Tempe, AZ (main office) Work from home opportunity, required monthly visits to home office Hours: Mon-Fri 8am-5pm Salary: DOE  


- Develop and maintain the audit process and tools related to

- Develop and maintain the audit schedule
- Audit staff as outlined in the system auditing policies
- Train audit staff at the health plan in the use of audit process and tools
- Facilitate compliance with the auditing process
- Act as a consultant related to system auditing to others in the unit, department and health plan
- Work with staff to identify and resolve authorization load error report system problems
- Coordinate auditing outcomes with the Trainer to identify, develop and publish corrective actions/educational material related to audit errors
- Coordinate auditing outcomes and system maintenance with the Sr. Clinical Systems Specialist to resolve or enhance clinical systems
-  Ability to travel


  • medical management auditing (3 years of experience is required)
  • Nursing License
  • Compliance
  • Bachelors
  • Years of experience: 3 years
  • Experience level:Experienced
Shift: First

Working hours: 8 AM - 5 PM

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