RN Auditor

Major Duties and Responsibilities: Lead/Coordinate the scheduling of delegation oversight audits. Provide administrative support to Health Plan staff in the acquisition and distribution of files for audit. Participate in the audit process. Assist Health Plan staff in the development and routing of the audit findings. Aggregate and analyze audit findings into a reportable format for management use. Maintain accurate recordkeeping of all delegation oversight audits and ensure all deadlines are met. Assist in the revision of delegation oversight audit tools in accordance with standards set by ICE, NCQA, the Plan's policies and procedures and other State and Federal guidance tools as required. Participates in Joint Operations Committee (JOC) meetings. SKILLS & ABILITIES Business, Health Sciences, Managed Care Registered Nurse (RN).Required Experience: 3 plus years of experience in an audit, compliance or delegation oversight role; preferably in a managed care environment Study: BSN All your information will be kept confidential according to EEO guidelines.