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Posted: 10/20/2026Director, Audits – Healthcare
Health Services Advisory Group, Inc. (HSAG)Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicaid managed care, HEDIS compliance, and performance measures, with a strong focus on operational oversight, project management, and team leadership. Proficient in budget development, contract review, and quality control processes to ensure high-quality deliverables.
Highest-signal resume keywords
NCQA Certified HEDIS Compliance Auditor (CHCA)Medicaid Managed Care ExpertiseBudget Development ExperienceContract Development and Review ExperienceTeam Leadership and Mentoring
About the role
Key responsibilities & impact- Serve as the team leader on the PMV and HEDIS teams and senior leader within HSAG’s Medicaid Services division
- Provide operational oversight of PMV and HEDIS audit activities
- Act as a liaison between HSAG and state Medicaid agencies and organizations
- Direct project planning, implementation, and performance monitoring across scope, staffing, schedules, budgets, and deliverables
- Lead and coach auditors and assigned staff by setting expectations, monitoring performance, supporting development, and fostering accountability and collaboration
- Ensure customer deliverables are accurate, high quality, internally reviewed and approved, and submitted on time
- Leverage SharePoint and Copilot to streamline workflows and improve deliverable production
- Monitor financial performance, including staffing plans, labor utilization, budgets, and forecasts
- Identify and mitigate operational, contractual, staffing, and customer risks; escalate significant concerns to the Senior Executive Director
- Participate in oversight of analytic output from partnering divisions
- Develop and adhere to analytic project time and task schedules; identify process improvements and develop quality improvement activities
- Conduct Internal Quality Control monitoring; present issues and recommended solutions and take corrective actions
- Assist in contracting, including development and review of contract language, scopes of work, and budgeting
- Define appropriate audit approaches
- Present and communicate project results to nonanalytic staff members and customers
- Lead responses to requests for proposals (RFPs)
- Implement formal training series for junior and senior staff
Requirements
What you’ll need- Bachelor’s degree or equivalent work experience in Medicaid managed care, HEDIS, performance measures, and/or audits
- Credentialed as an NCQA Certified HEDIS Compliance Auditor (CHCA) or proficiency in HEDIS reporting
- At least fifteen (15) years of work experience
- At least ten (10) years of healthcare experience, preferably Medicaid
- Budget and cost proposal development experience, including leading cost proposal development
- Contract development and review experience
- Expertise in Medicaid, health plan operations, or managed care
- Expertise in evaluating medical and prescription drug claims and encounters; eligibility and enrollment; demographic; survey; and vital statistics data required
- Experience evaluating electronic health record and clinical data preferred
- Experience mentoring multiple staff
- Demonstrated ability to supervise a team including responsibility for monitoring and evaluating performance
- Excellent English/communication skills (i.e., spelling, composition, grammar, proofreading and editing)
- Strong public speaking skills
- Excellent interpersonal skills
- Proficient in Microsoft Word, PowerPoint, Excel, Outlook and Copilot
- Ability to lead several large projects simultaneously and lead multiple analytic teams working on disparate activities
Benefits
Comp & perks- A comfortable work-life balance, including flexible work schedules
- Three weeks of paid time off
- 13 company-paid holidays
- Staff leave two hours early prior to each holiday
- Medical insurance
- Dental insurance
- Vision insurance
- Tuition reimbursement
- 401(k)
- Employee stock ownership plan
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
HEDIS ReportingPerformance MeasuresAudit ApproachesQuality Control MonitoringData EvaluationProject PlanningFinancial Performance MonitoringProcess ImprovementAnalytic Output OversightContract Language Development
Soft Skills
Excellent Communication SkillsPublic Speaking SkillsInterpersonal SkillsTeam SupervisionCollaboration
Tools & Technologies
Microsoft WordMicrosoft PowerPointMicrosoft ExcelMicrosoft OutlookSharePointCopilot
Certifications & Qualifications
NCQA Certified HEDIS Compliance Auditor (CHCA)
Industry Keywords
MedicaidHealthcareHEDISManaged CareAudit ActivitiesPerformance MonitoringCost Proposal DevelopmentElectronic Health RecordClinical DataRisk Mitigation