Auditor, Clinical Services

Provides support for healthcare services clinical auditing activities, performs audits for clinical functional areas, and contributes to strategy to provide quality and cost-effective member care.

Requirements

• At least 2 years health care experience
• 1 year experience in utilization management, care management, and/or managed care
• Registered Nurse (RN) license must be active and restricted in state of practice
• Strong attention to detail and organizational skills
• Strong analytical and problem-solving skills
• Ability to work in a cross-functional, professional environment
• Ability to work on a team and independently
• Excellent verbal and written communication skills
• Microsoft Office suite/applicable software program(s) proficiency

Benefits

• Competitive benefits package
• Equal Opportunity Employer (EOE)