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Healthcare Quality Audit Manager

VirtualVocations
Alpharetta, Georgia, United States
Full-time

A company is looking for a Healthcare Quality Audit Manager.Key Responsibilities : Conduct detailed audits of healthcare readmission data to ensure compliance with HEDIS measures and NCQA guidelinesValidate the accuracy and completeness of data used for HEDIS reporting, focusing on readmission metricsUtilize SQL to extract, manipulate, and analyze large datasets related to hospital readmissionsRequired Qualifications : Strong experience analyzing Medicare claims based on various codes and factorsMinimum of 3-5 years of experience in healthcare analytics, quality improvement, or data auditingProven experience working with HEDIS measures, specifically related to readmissionsStrong proficiency in SQL for data extraction, manipulation, and analysisFamiliarity with data visualization tools like Tableau or Power BI is a plus

15 days ago
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