Network Provider Information Quality Auditor and Trainer

Our Promise

Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Competencies:

Functional:

• Data Quality Assurance: Perform detailed audits on provider records; identify inaccuracies, root cause analysis and implement corrective actions to maintain data integrity.
• Demonstrates knowledge of internal operations, related regulations and standards. +Develops provider data workflows and partners with cross-functional teams to promote a culture of quality.
• Develops and continually improves data validation reports to analyze trends in problematic data and create action plans.
• Audit support through research of audit findings, facilitating the correction of errors, development of correction action plans, and executing all plans timely.
• Training Development & Facilitation: Design, build, and deliver comprehensive training programs-both live and virtual-covering systems, workflows, policies, and regulatory standards.
• Healthcare Industry Knowledge: Solid understanding of healthcare networks, credentialing, insurance plans, and compliance requirements (e.g., HIPAA, CMS).
• Coaching and Mentorship: Provide individualized support and guidance to staff on quality improvement and knowledge gaps.
• Instructional Documentation: Create and maintain training manuals, SOPs, quick reference guides, job aids, and FAQs.
• Knowledge Retention & Assessment: Use quizzes, observations, and performance reviews to assess learning outcomes and identify retraining needs.
• System Proficiency: Expert user of provider management systems, auditing tools, and learning management platforms.
• Process Improvement: Recommend changes to workflows, documentation, and training content based on audit insights and user feedback.
• Communication & Feedback: Deliver clear and constructive feedback to individuals and groups, adjusting instructional style as needed.
• Collaboration: Partner with leadership, quality, and operations teams to support performance metrics and training objectives.
• Analytical Thinking: Use of data analysis techniques to identify error trends, root causes, and performance gaps.
• Documentation & Reporting: Creation of comprehensive audit reports, training materials, and procedural documentation.
• Monitoring & Compliance: Regularly reviewing data for adherence to internal standards and external regulations.

Core:

• Accuracy and Detail Orientation: Consistently ensures audit and training documentation is thorough and free of error.
• Task & Training Organization: Balances audit duties, training sessions, and project management to meet all expectations.
• Problem-Solving: Identifies patterns in errors and works proactively to resolve systemic issues.
• Communication Skills: Strong interpersonal and instructional communication skills, both written and verbal.
• Adaptability: Able to quickly pivot between tasks, address evolving priorities, and manage change.
• Task Management: Balances multiple responsibilities and deadlines with consistent quality.
• Technical Proficiency: Comfort with auditing tools, provider systems, and learning platforms.
• Compliance Awareness: Ensures training content and audit processes align with healthcare regulations and company policies.
• Mentorship and Coaching: Provides constructive guidance and knowledge transfer to peers and new team members.

Behavioral:

• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
• Initiative: readiness to lead or take action to achieve goals.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
• Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
• Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive: managing new demands, changes, and situations.
• Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
• Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
• Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.

Minimum Qualifications:

• High school diploma or equivalent required.
• Associate degree in Health Information Management or a related field is strongly preferred. Relevant experience may be considered in lieu of formal education.
• At least 3 years of experience in a healthcare provider data management, quality assurance, or training.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
• Excellent attention to detail and organizational skills.
• Ability to manage and prioritize multiple responsibilities under tight deadlines.
• Understanding of provider networks, credentialing, and healthcare compliance requirements.
• As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.

Preferred Qualifications:

• Experience in training program development or delivery.
• Familiarity with provider management systems or quality monitoring tools.
• Working knowledge of HIPAA, CMS regulations, and industry best practices.

At Avsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are:

This role may also be eligible for benefits, bonuses, and commission.

Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter.

We Offer

• Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
• Competitive compensation package.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

How To Stay Safe

Avsis is aware of fraudulent activity by individuals falsely representing themselves as Avsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avsis recruiters will come from a verified email address ending in @ Avsiscom.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.

To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

Equal Employment Opportunity

At Avsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avsis, where We See You!