Senior Auditor - HEDIS & Healthcare Data Validation

Health Services Advisory Group, Inc. (HSAG); United States; On-site; USD 105,000 - 145,000; Full time

Job summary

Health Services Advisory Group (HSAG) is seeking a Senior Auditor to lead HEDIS compliance audits and performance measure validation across CMS core sets and state programs. You will assess information systems, data integrity, and measure workflows while mentoring junior staff.

The role requires strong analytical skills, experience in auditing healthcare data, and the ability to communicate complex findings to clients and stakeholders.

Qualifications

• Bachelor's degree in a related field (health administration, public health, health information management, nursing, information systems, statistics, data analytics).
• Experience in HEDIS compliance auditing or healthcare data validation.
• Ability to interpret complex performance measure specifications.

Responsibilities

• Lead and conduct HEDIS compliance audits and PMV activities.
• Evaluate data sources and system processes supporting measure calculation and reporting.
• Review source code, data mapping, and calculation methodologies for compliance with specifications.

Skills

HEDIS concepts

Analytical skills

Communication skills

Technical leadership

Education

Bachelor's degree

Tools

SQL

SAS

Python

Job description

Health Services Advisory Group (HSAG) is seeking a Senior Auditor to lead HEDIS compliance audits and performance measure validation across CMS core sets and state programs. You will assess information systems, data integrity, and measure workflows while mentoring junior staff.

The role requires strong analytical skills, experience in auditing healthcare data, and the ability to communicate complex findings to clients and stakeholders.