- Bachelor s / Master s degree in Health Administration / Psychology / Pharma / Nursing / Medico Social Work
- Good Communication Skills
- Experience in working in a quality improvement and healthcare area with demonstrated auditing and clinical expertise in assigned areas
- Project management skills and demonstrated experience are a plus
- Data quality assurance reviews which includes listening to care management Support phone calls; reviewing call quality assessments, data recording and gathering in accordance with regulatory requirements and internal policies. Maintains tracking tools to log audit results including areas of non-compliance and identifying areas of improvement.
- Evaluating and analysing aggregate quality performance data.
- Assists with creating and revising audit tools to ensure audits and reports are value-added.
- Training the care management teams on all the gaps as identified using quality assessments.
- Follow up with appropriate staff members to ensure accurate and complete documentation in the medical record.
- Positive Communication Skills.
- Basic understanding of medical terminologies.
- Experience in working in a quality improvement and healthcare area with demonstrated auditing and clinical expertise in assigned areas.
- Project management skills and demonstrated experience are a plus.
- Ability to build and maintain positive relationships with cross-functional teams and interact with all levels of management.
- Time management, critical/creative thinking, project management, communication, and problem-solving skills.
- Intermediate Microsoft Word, Excel, and other spreadsheet tools.
Experience/Qualification: Bachelor s/Master s degree in Health Administration / Psychology / Pharma / Nursing / Medico Social Work.
📌 Clinical Auditor (Mumbai)
🏢 Heaps Health Solutions India
📍 Mumbai
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