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Clinical Quality Auditor
DescriptionSummary:This position performs audit functions for the Quality Management team and delegated vendors and partners to determine operational efficiency, adherence to regulatory requirements and achievement of quality standards.The Quality Clinical Auditor will conduct, review, analyze and summarize findings of audit plans for internal business units and delegated partners and entities on a monthly, quarterly and/or annual basis. Focuses specifically on HEDIS audits and initiatives, supporting documentations and authorization to ensure compliance with regulation, policy and procedures for multiple lines of business. This includes collecting, aggregating, sorting and communicating summary of data collected and utilizing e
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