Clinical Validation Auditor

As a leading healthcare company, Elevance Health is dedicated to improving patient outcomes and reducing healthcare costs through innovative solutions. We are currently seeking a detail-oriented and experienced Clinical Validation Auditor to join our dynamic team. In this role, you will play a crucial role in ensuring the accuracy and integrity of our clinical data, ultimately driving better healthcare decisions. If you are passionate about making a meaningful impact in the healthcare industry and possess the required qualifications, we encourage you to apply for this exciting opportunity.

1. Conduct thorough and accurate audits of clinical data to ensure compliance with regulatory standards and company policies.
2. Collaborate with cross-functional teams to identify and address any discrepancies or issues found during audits.
3. Develop and maintain audit protocols and procedures to promote consistency and efficiency.
4. Communicate audit findings and recommendations to relevant stakeholders, including management and healthcare providers.
5. Analyze data and trends to identify potential areas for improvement and provide actionable insights.
6. Stay up-to-date on industry regulations and best practices to ensure compliance and suggest process improvements.
7. Provide guidance and support to team members on proper data collection, documentation, and reporting procedures.
8. Participate in quality improvement initiatives to enhance the accuracy and reliability of clinical data.
9. Maintain accurate and organized records of audit results, including documentation of corrective actions taken.
10. Contribute to the development and implementation of new technology and tools to streamline audit processes.
11. Uphold confidentiality and security protocols for all patient information.
12. Collaborate with external auditors and regulatory agencies as needed.
13. Attend trainings and conferences to continuously improve skills and knowledge in clinical validation auditing.
14. Assist in the development of training materials and conduct trainings for healthcare providers on data collection, documentation, and reporting processes.
15. Act as a subject matter expert on clinical validation auditing and provide guidance and support to other departments as needed.

According to JobzMall, the average salary range for a Clinical Validation Auditor in Houston, TX, USA is $50,000 - $80,000 per year. However, this may vary depending on the specific employer, level of experience, and other factors.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.