SouthfieldRecruiter Since 2001
the smart solution for Southfield jobs

Manager, Data Validation & Audit

Company: Advantasure
Location: Southfield
Posted on: February 10, 2020

Job Description:

Responsible for managing and coordinating day-to-day office operations and workflow of data validation and audit staff in support of the company's Risk Adjustment and Quality departments. Manage, motivate and develop technical analytical staff. Exchange information with staff and offer assistance in addressing workflow needs. Manage all resources associated with the data validation and audit operations unit including performing advanced level analysis, managing department workload and priorities, maintaining efficient processes, and communicating results. Aid department director in strategic planning.


  • Analyzes data and presents data validation and audit analysis in support of the company's Risk Adjustment department. Effectively communicates, makes recommendations, and presents data to appropriate personnel.
  • Works with various business units to help create and drive strategic plans and metrics.
  • Acts as a liaison to IT and assists in planning of future improvements to Advantasure systems.
  • Monitors data validation and audit progress of various Advantasure platforms, makes recommendations to take corrective action as necessary, and monitors action plans.
  • Works with the Risk Management team on identifying and monitoring risks.
  • Provide guidance, training and leadership to employees and mentor other analysts.
  • Assure appropriate level of documentation in regards to data validation and audit department and procedures.
  • Regularly communicate issues or progress to department director.
  • Adhere to deadlines; ensure work is completed on a timely basis.
  • Participate in development of annual departmental budget.
  • Subject matter expert for communication used for the Advantasure leadership team. Ensure that all material produced is of utmost quality, is internally consistent, and is completed in timely manner.
  • Institute a peer review process for critical deliverables and provide peer review support for other processes as requested.
  • Work with stakeholders to identify, create, and monitor various reports and key business metrics. Also provide guidance to end-users regarding use and interpretation of results.
  • Assist stakeholders in deploying strategies.
  • Performs ad-hoc projects, research, and analysis in support of key stakeholders.
  • Drives business decisions via effective communication and superb understanding of problems presented, analytical assumptions and solutions, and resources required to achieve desired results.
  • Ensure efficient and effective use of company resources, evaluate processes and procedures, and develop new procedures.
  • Exercise discretion when communicating outside of department.
  • Maintain confidentiality of information processed as appropriate.

    This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

    Bachelor's degree in computer science, mathematics, finance, economics, business, or related field is required. Master's degree is a plus. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.


    With proper education, seven years analytics experience is required, eight preferred. A minimum of three years demonstrated leadership in business computer and data systems environment required. Two years management or supervisory experience, or combinations of related training and experience strongly preferred.

    • Extensive knowledge and expertise of risk adjustment business and principles, both for Medicare Advantage and ACA business.
    • Ability to apply the principles of logical thinking to define problem; collect data, establish facts and draw conclusions.
    • Ability to learn new software easily.
    • Ability to manage multiple priorities, establish work flows and meet necessary deadlines.
    • Thorough knowledge of departmental procedures and workflows.
    • Demonstrated leadership abilities.
    • Ability to comprehend the consequences of various problem situations and address them.
    • Ability to make competent, independent decisions.
    • Ability to maintain confidentiality as appropriate.
    • Ability to perform other assignments at locations outside the office.
    • Ability to meet necessary deadlines.
    • Superior analytical skills.
    • Demonstrated skills in a variety of database platforms, business intelligence and analysis tools.
    • Mastery of Microsoft Office products.


      Work is performed in an office setting with no unusual hazards. Some travel required.

      The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

      We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.

Keywords: Advantasure, Southfield , Manager, Data Validation & Audit, Executive , Southfield, Michigan

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

Professional Project Management
Description: Essential Job Functions Creates and implements project definitions, schedules, budgets, and objectives for one or more small to medium sized projects. Prepares detailed statements of work and gains (more...)
Company: DXC Technology
Location: Detroit
Posted on: 02/22/2020

Cybersecurity Strategy and Transformation Manager
Description: Job DescriptionA career in our Strategy, Governance and Management practice, within Cybersecurity and Privacy services, will provide you with the opportunity to help our clients implement an effective (more...)
Company: PwC
Location: Detroit
Posted on: 02/22/2020

Project Manager I
Description: Project Manager I209703-911 br OVERVIEW br Honesty and fairness. Hard work and performance. A love for what we do. At Boldt, these are the values that drive us. They push us to be better every day. (more...)
Company: The Boldt Company
Location: Wixom
Posted on: 02/22/2020

Program Manager
Description: SUMMARY: Manage new customer programs, development projects, and other types of internal projects to ensure projects and programs are completed in accordance with well-defined goals performance, timing, (more...)
Company: Shiloh Industries
Location: Detroit
Posted on: 02/22/2020

MDS Director RN
Description: As a MDS Director, RN you will coordinate and facilitate the timely and accurate completion of the RAI and Care Management process from admission to discharge. You will coordinate and manage the daily (more...)
Company: Cambridge East Healthcare Center
Location: Madison Heights
Posted on: 02/22/2020

Senior Project Manager
Description: Mastronardi Produce pioneered the commercial greenhouse industry in North America, and we're now the leading greenhouse vegetable company on the continent. Our award-winning, flavorful produce is packed (more...)
Company: Mastronardi Produce
Location: Livonia
Posted on: 02/22/2020

Senior Manager, Operations Transformation, Cross Industry Payments
Description: Senior Manager, Operations Transformation, Cross Industry PaymentsHelp our clients navigate dynamic and disruptive markets. The solutions we provide will help them drive product and service innovation, (more...)
Company: Deloitte
Location: Detroit
Posted on: 02/22/2020

Unit Manager - ADON- RN
Description: Description br br HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation (more...)
Company: HCR Manorcare Inc.
Location: River Rouge
Posted on: 02/22/2020

Corporate Quality Manager
Description: JOB DESCRIPTION TheCORPORATE QUALITY MANAGERis responsible for leading the successful execution of our Quality Improvement working one-on-one with their assigned plant quality managers to understand our (more...)
Company: US Farathane
Location: Auburn Hills
Posted on: 02/22/2020

Digital Marketing Manager
Description: The Reset Group is looking for a Digital Marketing Manager to help develop, build upon, and execute the digital marketing strategy for our various building products brands. Headquartered in Maumee, OH, (more...)
Company: The Reset Group
Location: Plymouth
Posted on: 02/22/2020

Log In or Create An Account

Get the latest Michigan jobs by following @recnetMI on Twitter!

Southfield RSS job feeds