We are looking for a Quality Audit Specialist (QAS) to grow our mission of supporting client quality audits and bringing data-driven continuous readiness to Included Health’s service lines. You will provide support for pre-audit workflows, real-time audit coordination and post-audit activities associated with client quality audits. The QAS employs insights, tools and partnerships to identify trends and risk across Included Health products. The QAS uses these data to escalate risks and highlight opportunities to Quality Audit leadership in addition to operational and clinical leaders.

You will have experience with service and care excellence. You will also bring experience leading projects, including setting clear goals, defining project scope of the project, allocating resources and managing timelines to ensure that projects are completed. You are comfortable taking ownership of your piece of the business and have a desire to collaborate with leadership to make decisions that have a positive impact on the people we serve.

The Quality Audit Specialist reports to the Senior Manager, Quality Audit & Knowledge Enablement.

Responsibilities:

Continuous readiness:
Use resources and tools to "test the system" for audit readiness and identify gaps in real time
Communicate insights to Member Care and Clinical leadership
Provide education and training on audit processes and procedures to teams, ensuring readiness to meet audit criteria
Provide education and guidance regarding gaps surfaced in audits and call listening sessions, in partnership with Member Care Operations, Member Care and Clinical leadership
Audit coordination and support:
Deploy the audit playbook for each audit
Distribute materials supporting audit activity, both internally- and client-facing
Lead internal meetings associated with an audit
Document insights and findings throughout the audit lifecycle
Post-audit activities:
Support remediation plan through identification of and collaboration with designated remediation owners plus tracking to tasks and timelines
Document audit findings to include recommendations for operational, clinical, product, go to market and other teams
Track and trend remediation efforts coupled with findings across all client audits
Support involved leadership teams in post-audit activities

Required Qualifications:

3+ years of quality or data analysis and interpretation experience
College degree or equivalent experience
Clinical (nursing, pharmacy, or PA) experience
Experience managing projects
Experience using quality improvement frameworks and leading quality improvement efforts
Passionate about excellence in customer service
Ability to interpret data and find actionable insights
Ability to create reports, dashboards and visualizations
Experience with Google Workplace platform and Mac OS

Pay:

The United States new hire base salary target ranges for this full-time position are:

Zone A: $63,670 - $82,770 + equity + benefits

Zone B: $73,221 - $95,180 + equity + benefits

Zone C: $79,588 - $103,460 + equity + benefits

Zone D: $82,771 - $107,590 + equity + benefits

This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health’s commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.

Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone’s unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.

Benefits & Perks:

In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:

Remote-first culture

401(k) savings plan through Fidelity

Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)

Paid Time Off ("PTO") and Discretionary Time Off ("DTO")

12 weeks of 100% Paid Parental leave

Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.

Work-From-Home reimbursement to support team collaboration home office work

Your recruiter will share more about the salary range and benefits package for your role during the hiring process.

About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.

Quality Audit Specialist

Grand Rounds

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