Configuration and Quality Audit Manager | Hybrid NY
Hybrid - NYhybridmanager$89K – $132K
Posted today · via Workday
About this role
The Configuration & Quality Audit Manager will help build, lead and mature the new claim configuration auditing function responsible for validating accurate, complete, and compliant provider reimbursement across claims system configuration and adjudication outcomes. This role establishes the audit strategy, risk-based audit plan, testing and analytics methodology, reporting standards, and remediation governance for claim configuration and payment validation activities. The Manager serves as a reimbursement and configuration audit subject matter expert, leads analysts, partners with operational and technical stakeholders, and reports audit results, root causes, financial impact, and corrective action status to leadership.…
Read the full description on HFMS HF Management Services's site →
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: sql, tableau, power bi, sigma
2
Level fit
This role is manager-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Hybrid - NY. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
sqltableaupower bisigma