Clinical Audit Analyst VI - clinical experience needed
In addition to the responsibilities listed below, this senior technical/functional leader is also responsible for conducting risk assessments and audit planning; identifying clinical risk factors; prioritizing audit areas based on patient impact, regulatory exposure, and operational priorities; providing clinical expertise; and leading clinical components of audits and advisory projects across care settings, including process walkthroughs, control design assessments, sampling and text execution.
Essential Responsibilities:
- Promotes learning in others by communicating information and providing advice to drive projects forward; builds collaborative, cross functional relationships. Solicits and acts on performance feedback; provides actionable feedback to others, including upward feedback to leadership; influences, mentors, and coaches team members. Practices self-leadership; creates, evaluates, and responds to the strengths and weaknesses of self and unit or team members. Leads the adaptation to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Fosters open dialogue amongst team members.
- Drives the execution of multiple work streams by identifying member and operational needs; translates business strategy into actionable business requirements; develops and updates new procedures and policies. Gains cross-functional support for objectives and priorities; determines and carries out processes and methodologies; solves highly complex issues; escalates and resolves issues as appropriate; sets standards and measures progress. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; influences the completion of project tasks by others.
- Leads risk assessment activities by leveraging expertise in area of risks; and deciding which risk projects will be completed.
- Plans, schedules, and supervises assigned projects and staff in accordance with the audit plan, project budgets, and milestones; reviews and approves project level risk assessments; develops audit and project plans; approves work papers or other documentation; approves/prepares reports; and adheres to professional standards.
- Partners with company leaders on risk matters and acts as an internal consultant on analyzing and interpreting organizational risks and/or mitigation strategies.
- Develops the strategy and sets priorities for multiple client or functional areas by leveraging and engaging other members of the team; taking the lead role in driving client or functional area development based on risk assessment activities, client interactions, and industry knowledge; and directing the on-going risk assessment and audit planning process.
- Leads department initiatives.
- Ambiguity/Uncertainty Management
- Attention to Detail
- Business Knowledge
- Communication
- Constructive Feedback
- Critical Thinking
- Cross-Group Collaboration
- Decision Making
- Dependability
- Diversity, Equity, and Inclusion Support
- Drives Results
- Facilitation Skills
- Health Care Industry
- Influencing Others
- Integrity
- Learning Agility
- Organizational Savvy
- Problem Solving
- Short- and Long-term Learning & Recall
- Teamwork
- Topic-Specific Communication
- Debugging and Troubleshooting
- Maintain Files and Records
- Managing Diverse Relationships
- Microsoft Excel
- Negotiation
- Organizational Skills
- Project Management
- Stress Tolerance
- Technical Communication
- Trusted Advisor
- Bachelors degree in a clinical related field (e.g. Nursing, Pharmacy, etc.) AND Minimum ten (10) years audit or related clinical or business experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.
- Minimum four (4) years project management experience.
- Minimum five (5) years clinical experience in a hospital or acute care setting.
- Minimum two (2) years of experience in one or more of the following: quality improvement, risk management, audit, or Accreditation, Regulatory and Licensing (AR&L).
- Master's degree in Nursing, Healthcare Administration, Public Health, Business Administration, or a related field.
- Registered Nurse (RN) licensed in any State.
- Pleasanton, CA
- Aurora, CO
- Renton, WA
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