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Responsibilities:
- Responsible for planning and executing documentation/case audits (internal and external).
- Responsible for educating staff on findings, and the audit tool.
- Prepares written evaluation of quality and oversight activities.
Skills:
- Strong communication and presentation skills.
- Ability to work independently and self-motivated.
- Demonstrated cross functional collaboration.
Knowledge:
- Current knowledge of accreditation and regulatory standards requirements.
- Knowledge of the health care market including an understanding of the philosophy of managed care programs.
- Familiar with appropriate quality and oversight activities.
Capital Blue Cross
Capital Blue Cross promises to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”