Program Auditor; Operations​/Patient Services

Position:Program Auditor (Operations/Patient Services)

Location: Jeffersonville, IN

Job :736

# of Openings:0

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The program auditor is responsible for conducting detailed case audits, acting as a subject matter expert, creating comprehensive documentation, and reporting on operational quality within the program. This role focuses on ensuring adherence to quality standards, regulatory requirements, and improving overall service delivery.

A typical day in the life of a Program Auditor will include the following:

The program auditor's responsibilities include, but are not limited to the following:

• Conduct thorough call and case audits for individual team members to ensure compliance with company standards and protocols
• Provide detailed feedback to individuals being audited and their leadership to foster improvement and adherence to best practices
• Conduct internal program audits and support external program audits
• Conduct audits at the individual and process level
• Documentation creation and review including training materials based on audit findings
• Support the alignment of controlled documents to be accurate based on program expectations
• Attend and engage in program updates and trainings
• Provide a detailed analysis of audit results including overall trends for the program, comparisons of results on an individual agent level as well as on a team level, and a report of findings and action items identified
• Work with multiple platforms to identify individual and program trends to create constructive feedback
• Assists with CAPA investigations and root cause analysis
• Act as a Subject Matter Expert
• All other duties as assigned

Successful candidates possess the following personal attributes:

• Detail oriented
• Ability to multitask effectively
• Maintain standards of honesty and integrity
• Ability to effectively collaborate
• Ability to act independently with sound business intelligence
• Take responsibility for performance
• Excellent written and oral communication skills
• Experience using Word and Excel
• Be adaptable and handle change with flexibility
• Be innovative and open to new ideas
• Achievement driven; constantly striving to improve or to meet a standard of excellence
• Align with the goals of the group or organization
• Ready to take initiative and act on opportunities
• Be optimistic and pursue goals persistently despite obstacles and setbacks
• Identify opportunities and provide solution focused feedback
• Be service oriented and anticipate, recognize and meet needs of others, including patients and care partners
• Communicate clearly and send clear messages in all conversations including reviewing opportunities with leadership and agents on the program
• Understand data and have strong skills in data analysis

• Bachelor’s Degree strongly preferred
• Previous quality control and assurance experience preferred
• Previous healthcare experience strongly preferred
• Knowledge of the specialty drug product marketplace, health insurance claims processing, and commercialization of products and working with manufacturers is a plus
• Bi-lingual in English and Spanish or Chinese/Mandarin a plus
• Root cause analysis, CAPA, or nonconformity experience a plus
• We are located in Jeffersonville, IN. You must be willing to work in this location;
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