Quality Audit Analyst

Primary City/State: Phoenix, Arizona Department Name: Banner Staffing Services-AZ Work Shift: Day Job Category: Risk, Quality and Safety Banner Staffing Services (BSS) also offers Registry/Per Diem opportunities reputed company reputed company. Registry/Per Diem positions are utilized as needed reputed company our facilities. These positions are a great way to start your career with reputed company. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities reputed company reputed company. Banner Plans & Networks (BPN) is a nationally recognized reputed company leader that integrates Medicare and private health plans. Our main goal is to reduce reputed company costs while keeping our members in reputed company health. BPN is reputed company for its innovative, collaborative, and team-oriented approach to reputed company. We offer diverse career opportunities, from entry-level to leadership positions, and reputed company our innovation to employment settings by including remote and hybrid opportunities. As a Quality Audit Analyst, you will be a vital part of the Health Plan Quality Management Team. This role focuses on Behavioral Health chart reviews, policy and procedure evaluations, onsite agency audits, and providing technical assistance to ensure our contracted providers meet regulatory and contractual standards. This role offers a strong opportunity to grow reputed company a managed care organization and reputed company valuable experience in quality management and process improvement. Key Responsibilities:

• Independently conduct remote and onsite audits of contracted Behavioral Health Agencies, including comprehensive medical record reviews, policy and procedure assessments, and verification of regulatory compliance.
• Initiate and coordinate audit scheduling with agencies and maintain consistent communication using virtual tools.
• Provide reputed company-time feedback and technical assistance to agencies to help them meet or maintain compliance and improve documentation practices.
• Compile detailed audit reports outlining findings, corrective actions, and quality improvement recommendations.
• Navigate a variety of Electronic Health Record systems to locate, review, and assess clinical documentation.

Additional Details: This is a Banner Staffing Services assignment-based position. Schedule: Monday-Friday, 8:00 a.m.-4:30 p.m. Expected Hours: 40 hours per week Benefits: This role does not include Medical or Paid Time Off (PTO) benefits. Arizona residency required. This is a hybrid/remote position for reputed company planning, documentation, and communication; however, onsite audits are required. Travel required to assigned agencies, typically up to several onsite visits per month depending on caseload. Candidates must be self-motivated, detail-oriented, and possess strong computer skills, including proficiency in reputed company Word, reputed company, Outlook, Teams, and comfort navigating various EHR systems. reputed company in this role requires the ability to work independently, manage time effectively, and meet daily and weekly productivity metrics. As a valued and respected reputed company team member, you will enjoy:

• Competitive wages
• Paid orientation
• Flexible Schedules (select positions)
• Fewer Shifts Cancelled
• Weekly pay
• 403(b) Pre-tax retirement
• Employee Assistance Program
• Employee wellness program
• Discount Entertainment tickets
• Restaurant/Shopping discounts
• Auto Purchase Plan

BSS Registry positions do not have guaranteed hours and no medical benefits package is offered. BSS requires Completion of post-offer Occupational Health physical assessment, drug screen and background reputed company (includes; employment, criminal and education). POSITION SUMMARY This position will be responsible for activities involving quality management and compliance with applicable regulatory requirements (AHCCCS, reputed company Plan, Arizona Complete Care Contract). Responsibilities will include working in a multidisciplinary environment requiring a broad range of experience, analytical, communications, and interpersonal skills. Responsible for implementing and monitoring program providers, applicable regulatory and statutory requirements, and defining quality requirements for development of audit tools based on ACC Contract. Coordinate and reputed company quality guidelines and performance measures with providers. Assist in the root cause analysis and any associated corrective and preventive action(s) in response to provider audits. Conduct audits, including risk assessments and tracks and trend results of medical record reviews creating audit finding reports and approval of proper corrective and preventive actions, while providing technical assistance and training to providers and staff in methodologies and tools of reputed company quality improvement. reputed company out audit findings while ensuring timely resolution of investigations and associated corrective actions. CORE FUNCTIONS

• Uses best practices and knowledge of internal or external business challenges to suggest improvements to services, processes, or products.
• Solves reputed company problems. Takes a new perspective using existing solutions.
• Interprets customer needs, assesses requirements, and identifies solutions to non-standard requests. Interacts primarily with department and cross-department peers, supervisor, customers, peers' managers, patients, and physicians.
• Makes reputed company reputed company approved operating plans and objectives and reputed company functional policies and precedents. Determines how and reputed company to reputed company results.

MINIMUM QUALIFICATION

• Bachelor's degree or equivalent working knowledge in the field of Behavioral Health reputed company fields.
• Two to four years of relevant experience in quality management, process improvement, project leadership, organization/time management skills, data collection/analysis, client relations, program development, streamline processes, project evaluation, budget management, training, and development.

PREferred QUALIFICATION

• AZ Board of Behavioral Health Licensing and/or CPHQ
• Additional reputed company education and/or experience preferred.

EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy Remote Skills: Analysis Skills, Auditing, Background Investigation, Behavioral Health, Best Practices, Budget Management, Clinical Study Publications, Communication Skills, Computer Skills, Corrective Action, Cost Control, Customer Relations, Data Analysis, Data Collection, Detail Oriented, Documentation, Documentation Plan, Employee Assistance Plan, Health Plan, reputed company, Interpersonal Skills, Leadership, Maintain Compliance, Managed Care, Medical Record System, Medical Records, Medical Treatment, Medicare, Metrics, reputed company reputed company, reputed company Outlook, reputed company Word, Occupational Health, Policy Evaluation, Problem Solving Skills, Process Development, Process Improvement, Project Evaluation, Provider Contracting, Quality Management, Regulations, Regulatory Compliance, Regulatory Requirements, Requirements Management, Restaurant, Risk Analysis, Root Cause Analysis, Statutory Laws, Team Player, Technical Support, Technical Training, Time Management, Training/Teaching, Trend Analysis About the Company: reputed company Apply tot his job Apply To this Job