Elevance Health

Clinical Quality Auditor Lead

Elevance Health

full-time

Posted on:

Location Type: Hybrid

Location: Indianapolis • California, Massachusetts • 🇺🇸 United States

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Salary

💰 $77,760 - $134,136 per year

Job Level

Senior

About the role

  • Participating in clinical quality management activities
  • Preparing team for oversight audits
  • Conducting audits of Quality Management (QM) processes and files
  • Writing policies, procedures, and assisting with development of provider manuals
  • Monitoring goals, performance and processes
  • Mentoring and coaching staff
  • Training new associates and re-training current associates

Requirements

  • BS in health sciences, health management or a related clinical field
  • Minimum of 5 years of experience in utilization management, quality assurance and/or regulatory/accreditation standards/audits
  • Current, active, unrestricted clinical license (LCSW, LMSW, LMHC, LPC, LMFT, or clinical Psychologist)
  • Master’s Degree highly preferred
  • Experience with Autism and ABA
  • Strong oral, written and interpersonal communication skills
  • Problem-solving skills
  • Facilitation skills
  • Analytical skills
Benefits
  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
  • medical benefits
  • dental benefits
  • vision benefits
  • short and long term disability benefits
  • paid holidays
  • paid time off
  • wellness programs
  • financial education resources

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
utilization managementquality assuranceregulatory standardsaccreditation standardsauditspolicy writingprocedure writingclinical quality managementperformance monitoringAutism and ABA
Soft skills
mentoringcoachingtrainingoral communicationwritten communicationinterpersonal communicationproblem-solvingfacilitationanalytical skills
Certifications
LCSWLMSWLMHCLPCLMFTclinical Psychologist