Utilization Review Auditor – developmental disabilities

MD - Columbia

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Job Description

Health and human services quality management professionals are encouraged to consider an exciting career opportunity with Liberty Healthcare Corporation.

Liberty Healthcare endeavors to establish a new statewide program in Maryland which will provide strategies that enhance the quality of life and help to ensure the health and wellbeing for individuals with intellectual and developmental disabilities who receive publicly-funded supports and services.

Specific program services and objectives will include:

  • Monitoring of basic waiver assurances – including level of care reviews; service record reviews; critical incident reviews; and quality provider reviews
  • Utilization reviews – including verifying quality and quantity of services delivered by providers
  • Execution of the National Core Indicators Surveys – including face to face consumer surveys, family member surveys and family guardian surveys
  • Achieving system and provider accreditation by the Council on Quality and Leadership (CQL) 

To support this new potential program, Liberty Healthcare seeks qualified candidates for a newly-created Utilization Review Auditor position. 

Liberty Healthcare’s Utilization Review Auditor will enjoy a dynamic job description and primarily be responsible for verifying the provision and quality of publicly-funded services for individuals who have intellectual and developmental disabilities (I/DD). This includes a combination of remote and field-based work with travel throughout the region to conduct onsite provider reviews as well as client, family and guardian meetings.

As a Utilization Review Auditor and full-time employee of Liberty Healthcare you can expect a competitive salary and comprehensive benefits package – click here for details.

Skills & Requirements

You’re a good fit for this position if you possess the following attributes:

  • Minimum of three years of experience in public sector utilization review of Medicaid services
  • Health and human services experience - preferably related to developmental disabilities services
  • Bachelor’s or Master’s degree
  • Willingness to travel throughout the local region

Liberty Healthcare is an Equal Opportunity Employer. Diversity, equality and inclusion are among our deepest-held values. We work to create an environment that attracts real talent and we seek to motivate, inspire and recognize high performance among all employees regardless of race, color, religion, gender, gender identity, gender expression, sexual orientation, ancestry, national origin, age, marital or veteran status, or disability. All qualified applicants are encouraged to apply and will receive consideration for employment.

Click “Apply” and submit your resume for immediate consideration.