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  

Responsibilities

- 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



Skills

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

Working hours: 8 AM - 5 PM

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

get jobs in your inbox.

sign up
{{returnMsg}}

related jobs

    Staff Auditor

  • location: Scottsdale, AZ
  • job type: Permanent
  • salary: $75,000 per year
  • date posted: 10/13/2021