Empower individuals as you deliver case management services, collaborating with healthcare teams to coordinate high-quality care, advocate for members, and enhance healthcare outcomes through effective solutions and resource utilization.
Elevate internal audit effectiveness by supervising audits and strategic initiatives, ensuring quality reporting, and cultivating strong management relationships to improve internal controls and risk management across the organization.
Drive quality improvement initiatives in Clinical Operations & Audit, focusing on HEDIS, STARS, and performance reporting. Lead and develop staff, ensuring compliance and excellence in healthcare programs. Engage with internal and external partners.
Drive efficient space optimization and occupancy planning by analyzing real estate needs, collaborating with stakeholders, and enhancing utilization strategies to meet organizational goals and improve member experiences within a dynamic environment.
Tackle complex IT audit challenges by leading audit teams, developing work programs, and ensuring compliance. Collaborate with management to enhance internal controls while supervising junior auditors in this hybrid role requiring office presence twice weekly.