Senior HEDIS Auditor & Data Integrity Lead

Health Services Advisory Group (HSAG); United States; Remote; USD 90,000 - 130,000; Full time

Job summary

Health Services Advisory Group is seeking a senior auditor to lead HEDIS compliance audits and validate performance measures for diverse clients across the United States.

Responsibilities include reviewing source code, assessment of information systems, validation of denominators/numerators/exclusions, and leading audits both virtually and onsite. The role requires mentoring staff and delivering clear findings to stakeholders.

Qualifications

• Bachelor's degree in healthcare, public health, informatics, statistics or related field.
• Significant experience in HEDIS compliance auditing or performance measurement.
• Experience evaluating healthcare information systems and data flows.
• Experience reviewing source code or measure calculation logic.
• Experience conducting audits and communicating results to stakeholders.
• Ability to lead complex audits and mentor other staff.

Responsibilities

• Lead and conduct HEDIS compliance audit and performance measure validation activities
• Review source code, programming logic, and measure calculation methodologies
• Conduct information systems assessments and data integrity reviews
• Validate denominators, numerators, exclusions and measure-specific requirements
• Lead virtual and onsite audits and interviews with client staff
• Prepare audit workpapers, findings and client-facing reports
• Provide senior-level review and technical guidance to auditors

Skills

Auditing

Healthcare data analysis

Leadership

HEDIS knowledge

Education

Bachelor's degree

Tools

SQL

SAS

Python

Job description

Health Services Advisory Group is seeking a senior auditor to lead HEDIS compliance audits and validate performance measures for diverse clients across the United States.

Responsibilities include reviewing source code, assessment of information systems, validation of denominators/numerators/exclusions, and leading audits both virtually and onsite. The role requires mentoring staff and delivering clear findings to stakeholders.