Organization: Community Health Group
Location: Chula Vista, CA
Date Job Posted: January 6, 2023
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HEDIS Quality Auditor
Job Location Corporate Headquarters - Chula Vista, CA
Community Health Group is a locally based non-profit health plan that ensures access to high quality, culturally sensitive health care for underserved communities throughout San Diego County. We treat our 300,000+-member, multi-lingual staff like family, encouraging an atmosphere of collaborative teamwork, continuous learning, personal growth, and promotion from within. Recognized as one of the Top Workplaces in San Diego, CHG offers its employees such benefits as tuition reimbursement, a meditation room and yoga classes, a monthly Breakfast With The CEO, and memorable events throughout the year.
We know that by serving our employees well, they, in turn, will better serve our nearly 300,000+ membership. We have been recognized consistently for the excellence and sensitivity of our customer service by members, physicians, vendors, and a full range of health care providers. We are accredited by the National Committee for Quality Assurance and proud of our continuing company-wide Quality Initiatives.
We are currently recruiting for:
TITLE: HEDIS Quality Auditor
Target Hiring Range: $ 64,480.00- $ 72,530.00 Annually
EEO1: Administrative Support Worker
The HEDIS Quality Auditor is responsible for quality assurance processes utilized by staff to ensure the integrity, completeness and validity of external and internal HEDIS reports. Must be able to analyze reports, identify correct methodology for extracting data, including data sources and criteria. Must ensure reports submitted to regulatory agencies are accurate, timely, and formatted appropriately. The HEDIS Quality Auditor works closely with providers and internal staff to ensure data collected is in accordance with prescribed quality standards; HEDIS measures, and internal protocols.
COMPLIANCE WITH REGULATIONS:
Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and DHCS.
Community Health Group is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment based on any protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, and trainings. Community Health Group makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, see Personnel Policy 3101 Equal Employment Opportunity/Affirmative Action.