Healthcare Quality Improvement Auditing and Validation SME
Key Role:
Come to Booz Allen and work with a diverse team that will support the evaluation of Medicare’s largest quality improvement program. Use data to drive improvement, helping patients receive the best possible care while also helping achieve national health quality goals. Leverage experience conducting auditing and validation activities with Quality Improvement Organizations (QIOs).
Basic Qualifications:
Experience verifying that specific participants are engaged in quality improvement work based on the self-reported data being submitted by each network on a regular basis
Experience conducting a qualitative assessment showing effective use of data to drive quality improvement
Experience gathering evidence regarding the accuracy of self-reported data submitted quality improvement organizations
Experience identifying problems with formatting and evidence of inaccuracy, including inadvertent errors, and “cherry-picked” or manufactured data
Experience using CMS claims data to assess reporting accuracy
Ability to work as a high-performing individual in a supportive team environment
Ability to obtain a security clearance
Bachelor's degree and 8+ years of experience as a quality improvement validation and auditing SME or Master's degree and 5+ years of experience as a quality improvement validation and auditing SME
Additional Qualifications:
Experience conduct purposive sampling, random sampling, or a combination in a manner that minimizes minimal cost and burden while retaining rigor
Experience determining criteria used to judge the qualitative validity of the quality improvement work and the quantitative accuracy of specific improvements, and the specific measures for each aim likely to be emphasized for validation
Experience identifying and addressing any Paperwork Reduction Act requirements
Experience proposing, developing, and implementing an Inter-rater reliability method to ensure accuracy and consistency of a case review process
Experience developing detailed review manuals and training reviewers on best practices for conducting case reviews
Experience identifying systemic or individual anomalies and suggesting formal audit or validation
Experience monitoring national data sources, such as claims, NHSN, and CMS pay for performance data, for validation of the self-reported quality improvement data
Possession of excellent oral and written communication skills, including interpersonal and presentation skills
Clearance:
Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified information.
Compensation
At Booz Allen, we celebrate your contributions, provide you with opportunities and choices, and support your total well-being. Our offerings include health, life, disability, financial, and retirement benefits, as well as paid leave, professional development, tuition assistance, work-life programs, and dependent care. Our recognition awards program acknowledges employees for exceptional performance and superior demonstration of our values. Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible to participate in Booz Allen’s benefit programs. Individuals that do not meet the threshold are only eligible for select offerings, not inclusive of health benefits. We encourage you to learn more about our total benefits by visiting the Resource page on our Careers site and reviewing Our Employee Benefits page.
Salary at Booz Allen is determined by various factors, including but not limited to location, the individual’s particular combination of education, knowledge, skills, competencies, and experience, as well as contract-specific affordability and organizational requirements. The projected compensation range for this position is $65,300.00 to $149,000.00 (annualized USD). The estimate displayed represents the typical salary range for this position and is just one component of Booz Allen’s total compensation package for employees.
Work Model
Our people-first culture prioritizes the benefits of flexibility and collaboration, whether that happens in person or remotely.
- If this position is listed as remote or hybrid, you’ll periodically work from a Booz Allen or client site facility.
- If this position is listed as onsite, you’ll work with colleagues and clients in person, as needed for the specific role.
EEO Commitment
We’re an equal employment opportunity/affirmative action employer that empowers our people to fearlessly drive change – no matter their race, color, ethnicity, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, ancestry, age, marital status, sexual orientation, gender identity and expression, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, local, or international law.
