Lead Provider Audit Analyst

A company is looking for a Lead Provider Audit Analyst. Key Responsibilities Plan, coordinate, and execute audits of provider records, claims, and documentation Review and assess the quality of provider services and documentation Prepare detailed audit reports, analyze findings, and recommend improvements Required Qualifications Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field; Master's preferred 5-7 years of related work experience, with a focus on auditing or quality assurance Certifications such as Certified Professional Medical Auditor (CPMA) may be advantageous Experience in healthcare or insurance auditing is preferred Proficiency in data analysis and reporting tools such as Excel, Access, SQL, or Tableau

May 15, 2025 - 16:06
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Lead Provider Audit Analyst
A company is looking for a Lead Provider Audit Analyst. Key Responsibilities Plan, coordinate, and execute audits of provider records, claims, and documentation Review and assess the quality of provider services and documentation Prepare detailed audit reports, analyze findings, and recommend improvements Required Qualifications Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field; Master's preferred 5-7 years of related work experience, with a focus on auditing or quality assurance Certifications such as Certified Professional Medical Auditor (CPMA) may be advantageous Experience in healthcare or insurance auditing is preferred Proficiency in data analysis and reporting tools such as Excel, Access, SQL, or Tableau