Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees. The UHS business strategy is to build or purchase health care properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. Our success comes from a responsive management style and a service philosophy based on integrity, competence and compassion.
Prominence Health Plan, established in Reno in 1993 as St. Mary's Health Plan, was acquired in 2014 by Universal Health Services (UHS), one of Fortune Most Admired Companies.
In addition to the HMO, Prominence Health Plan also offers Point of Service health plans, a preferred health insurance company that offers Preferred Provider Organization (PPO) health plans, and CDS Group Health, a third-party administrator.
We are a fast-growing, rapidly-changing healthcare organization offering the excitement of a start-up with the support of a Fortune 500 company. We are looking for talented, enthusiastic people to help shape the future of our organization.
Job Summary: The Operations Auditor reports to the CEO and assist with the completion of monthly monitoring activities for operations. Perform quality assurance functions as they pertain to claims transactions audits by means of identifying, documenting, and communicating information. The Auditor develops, maintains, and provides statistical reports to leadership on a regular basis. Works cooperatively with department heads and team leaders to propose and implement solutions to always provide the best outcomes for our groups, members, and providers. The Operations Auditor will perform the activities involved in identifying, examining, testing and making recommendations concerning the internal controls, policies and procedures of the Plan and its subsidiaries. This includes, but is not limited to, internal control reviews, special projects, and system development reviews.