Healthfirst
We provide no-and low-cost health insurance in NYC, Long Island, Orange, Rockland, Sullivan, and Westchester counties.
QA Financial Auditor II
Location
New York
Posted
55 days ago
Salary
$68.9K - $99.6K / year
Associate Degree1 yr expEnglish
Job Description
• Conduct moderately complex to complex quality audits of provider claims, pre-payments and post-payments including high-dollar and specialized claims across multiple lines of business
• Audit the work of more junior auditors and identify opportunities for coaching and/or training
• Identify and communicate issues identified through audits and recommended solutions relevant to business operations
• Mentor and coach Financial and/or Operations QA auditors
• Participate as a Subject Matter Expert on various process improvement projects designed to meet departmental and operational needs
Job Requirements
- Audit experience with the investigation, determination and reporting of financial processes
- Work experience in Microsoft Office suite of applications including advanced Excel (formatting formulas, managing data, filtering results), Word (creating and editing documents), PowerPoint (creating and editing presentations)
- Experience conducting root cause analysis in an auditing capacity
- Experience handling confidential information
- Associate degree from an accredited institution
Benefits
- medical, dental and vision coverage
- incentive and recognition programs
- life insurance
- 401k contributions
