---
title: 'Director, Audits (Healthcare) at Health Services Advisory Group, Inc.'
canonical: 'https://feeny.ai/job/director-audits-healthcare-health-services-advisory-group-inc-remote-frmzbc94j66d'
type: 'job'
last_seen: '2026-10-27'
---

# Director, Audits (Healthcare) at Health Services Advisory Group, Inc.

- **Company:** Health Services Advisory Group, Inc.
- **Location:** Remote
- **Compensation:** $133k–$160k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-10-20
- **Last confirmed live:** 2026-10-27
- **Apply:** https://jobs.lever.co/hsag/1f797a86-850b-4df9-9d93-8203b3e6082c

## Job description

Are you passionate about improving the quality of healthcare? Are you ready to leverage your talents to make healthcare better for everyone? Do you want the opportunity to give back to your community? Do you want to have fun at work?

Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States!

## SUMMARY

HSAG is nationally recognized as an industry leader in the areas of healthcare audits, data analysis, measure development, and survey research. We are in search of talented individuals who are interested in a leadership position healthcare analytics and data science as a Director, Audits in HSAG’s Medicaid Services division. Together we can spread positive change to make healthcare better.

## UNIQUE BENEFITS

The Director, Audits position benefits from HSAG’s desire to grow its staff into future leaders of healthcare quality improvement in the nation. The Director provides leadership within the Medicaid Services division across the entire array of healthcare audit projects. The Director, Audits position will supervise the Performance Measure Validation (PMV) and Healthcare Effectiveness Data and Information Set (HEDIS®[1]) staff in the Audits department. HSAG offers: A comfortable work-life balance, including flexible work schedules. Three weeks of paid time off and 13 company-paid holidays where staff leave two hours early prior to each holiday to get a “jump start” on holiday festivities. HSAG offers a competitive benefit package that includes medical, dental, vision, tuition reimbursement, 401(k) and an employee stock ownership plan.

## DESCRIPTION

The Director, Audits positionis a key leader responsible for providing management oversight and leadership on HSAG’s broad spectrum of audit projects. The Director, Audits will provide operational oversight of all HSAG PMV and HEDIS® audit activities. On a daily basis, this position manages multiple large-scale and high-profile audit projects through various stages including implementation, day-to-day management, budgeting, forecasting, analysis, and reporting. Activities include overseeing multiple teams in developing work plans and timelines; leading and overseeing project tasks; leading client teleconferences and meetings; presenting on healthcare topics; supervising and/or mentoring junior staff; and providing regular progress reports to the Senior Executive Director, Medicaid Services. The Director, Audits will also lead responses to requests for proposals (RFPs) and implement formal training series for junior and senior staff under the direction of the Senior Executive Director. Details regarding potential project assignments and key sources of data will be discussed with potential candidates during the interview process.

ESSENTIAL COMPETENCIES, DUTIES, AND RESPONSIBILITIES Serve as the team leader on the PMV and HEDIS teams and senior leader within HSAG’s Medicaid Services division. Provide operational oversight of PMV and HEDIS audit activities as a leader on the HSAG Audits Team. Act in a liaison capacity between HSAG and state Medicaid agencies and organizations. Direct project planning, implementation, and performance monitoring across scope, staffing, schedules, budgets, and deliverables for the Audits department. Lead and coach auditors and other assigned staff by setting expectations, monitoring performance, supporting development, and fostering accountability and collaboration. Ensure customer deliverables are accurate, high quality, internally reviewed and approved, and submitted on time. Leverage tools such as SharePoint and Copilot to streamline workflows and improve deliverable production. Monitor financial performance, including staffing plans, labor utilization, budgets, and forecasts, in coordination with Finance and executive leadership. Identify and mitigate operational, contractual, staffing, and customer risks; escalate significant concerns to the Senior Executive Director. Participate in the oversight of analytic output from partnering divisions. Develop and adhere to analytic project time and task schedules, identify opportunities to improve the project process, and develop quality improvement activities accordingly. Conduct Internal Quality Control (IQC) monitoring regarding efficiency/effectiveness of activities conducted. Present issues and recommended solutions and take corrective actions as indicated. Assist in the contracting process, including the development and review of contract language, scopes of work, and budgeting. Define appropriate audit approaches. Present and communicate project results to nonanalytic staff members and customers. Represent HSAG in a professional manner at all times.

## EDUCATION AND/OR EXPERIENCE

Bachelor’s degree or equivalent work experience in the area of Medicaid managed care, HEDIS, performance measures, and/or audits. Credentialed as an NCQA Certified HEDIS Compliance Auditor (CHCA) or proficiency in HEDIS reporting. At least fifteen (15) years of work experience. At least ten (10) years of healthcare experience, preferably Medicaid. Budget and cost proposal development experience, including leading cost proposal development. Contract development and review experience.

## OTHER QUALIFICATIONS

Expertise in Medicaid, health plan operations, or managed care. Expertise in evaluating medical and prescription drug claims and encounters; eligibility and enrollment; demographic; survey; and vital statistics data required. Experience evaluating electronic health record and clinical data preferred. Experience mentoring multiple staff. Demonstrated ability to supervise a team including responsibility for monitoring and evaluating performance. Excellent English/communication skills (i.e., spelling, composition, grammar, proofreading and editing). Strong public speaking skills. Excellent interpersonal skills. Proficient in Microsoft Word, PowerPoint, Excel, Outlook and Copilot. Ability to lead several large projects simultaneously and lead multiple analytic teams working on disparate activities.

[1]HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).

HSAG is an EEO Employer of Veterans protected under Section 4212. If you have special needs and require assistance completing our employment application process, please feel free to contact us.

EOE M/F/Veteran/Disability

## About Health Services Advisory Group, Inc.

## Company Overview
- **One-liner**: Health Services Advisory Group, Inc. (HSAG) is a privately held healthcare quality improvement organization that provides external quality review, data analytics, and survey services to Medicare, Medicaid, and other health programs.
- **Entity Type**: Private (no disclosed funding rounds; appears bootstrapped or organically funded)
- **Headquarters**: Phoenix, Arizona, United States
- **Founded**: 1979
- **Founders**: A group of medical professionals (exact names not publicly listed)

## Core Business
- **Primary industry**: Healthcare quality improvement / Healthcare advisory services
- **Target customers**: Government agencies (Centers for Medicare & Medicaid Services), state Medicaid programs, hospitals, nursing homes, physician practices, managed care organizations — primarily B2G and B2B within the healthcare ecosystem.
- **Mission statement**: “To be a positive force in health care by providing helpful information and quality expertise to those who deliver and those who receive health services.”

## Products & Services
- **QIN-QIO Services (Quality Innovation Network – Quality Improvement Organization)**: HSAG works under federal contracts to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries in Arizona and California.
- **EQRO Services (External Quality Review Organization)**: Conducts health plan-specific reviews of quality of care, timeliness, and access for Medicaid managed care, behavioral health, and prepaid inpatient health plans across multiple states.
- **Data Science & Advanced Analytics**: Provides outcomes measurement, satisfaction surveys, and quality improvement interventions through the Survey, Research & Analysis Division.
- **Audit & Validation Services**: Offers audit services for managed care organizations, including MIPS attestation assistance and compliance reviews.
- **Healthcare Policy & Quality Measurement (HPQM)**: Provides clinical and analytical expertise for quality measure development and healthcare policy evaluation.

## Market Standing
- **Valuation**: Not disclosed (private company)
- **Key Metric**: Annual Revenue — approximately $45 million (source: ZoomInfo, likely 2024-2025 estimate). Total headcount reported as 305 (ZoomInfo, -1.6% YoY) or 511 (Built In, possibly broader definition). Conflicting headcount data exists; the lower figure likely reflects core employees, while the higher may include contractors or broader workforce.
- **Notable Clients/Contracts**: CMS (Centers for Medicare & Medicaid Services) as a QIN-QIO for Arizona and California; EQRO contracts for 15+ states including Arizona, California, Colorado, and others.
- **Growth Signals**: In May 2025, HSAG was awarded the CMS QIN-QIO 13th Statement of Work (13SOW) regional contract, extending its federal work. The company’s LinkedIn following grew 56.2% year-over-year, indicating increased brand visibility.

## Competitive Advantages
- **Deep government expertise**: 40+ years of experience working directly with CMS and state Medicaid agencies, creating high barriers to entry for competitors.
- **Dual role as QIN-QIO and EQRO**: Few organizations hold both designations, giving HSAG a unique vantage point across Medicare and Medicaid quality improvement.
- **Established trust and track record**: Helped Laguna Honda Hospital & Rehabilitation Center (the second largest nursing home in the U.S.) regain nursing home certification after two years of guidance.
- **Multi-state footprint**: Provides services in 16 states, with physical offices in Arizona, Hawaii, Florida, and California.

## Strategic Focus
- **Expanding federal and state contracts**: Recent award of the QIN-QIO 13SOW contract signals continued investment in Medicare quality improvement.
- **Broadening service offerings**: Introduction of MIPS Attestation Assistance Services (January 2025) and expansion of audit capabilities for managed care organizations.
- **Data-driven quality improvement**: Emphasis on advanced analytics and informatics to support federal and state program goals.

## Why Work Here
- **Work environment**: Hybrid and remote options available; job postings list “Remote” or “Hybrid” for many roles (e.g., Accounting Manager – Hybrid; Healthcare Auditor II – Remote).
- **Culture**: Employee rating of 3.4/5 on Indeed (208 reviews), with work-life balance rated 3.7 and compensation 3.7. Career development rated 3.4. Reviewers note exposure to a wide variety of Medicare and Medicaid contracts and good training in informatics and analytics.
- **Benefits**: Dental insurance, 401(k), pension plan, and family/childcare benefits reported (Built In). Salaries for recent postings: Healthcare Auditor II $80k–$90k/year; Health Plan Auditor I $62k–$70k/year.
- **Offices**: 4+ offices including Phoenix (HQ), Glendale (AZ), Tempe (AZ), Tampa (FL), and Kalaeloa (HI).
- **Mission-driven work**: Opportunity to directly impact healthcare quality for Medicare and Medicaid beneficiaries across the country.

## Sources
1. [ZoomInfo - Health Services Advisory Group](https://www.zoominfo.com/c/health-services-advisory-group-inc/363315142)
2. [Built In - Health Services Advisory Group Careers](https://builtin.com/company/health-services-advisory-group)
3. [LinkedIn - Health Services Advisory Group](https://linkedin.com/company/health-services-advisory-group)
4. [Indeed - Health Services Advisory Group Reviews](https://www.indeed.com/cmp/Health-Services-Advisory-Group,-Inc.)
5. [The Org - Health Services Advisory Group](https://theorg.com/org/health-services-advisory-group)
6. [HSAG Careers Page (Lever)](https://jobs.lever.co/hsag)

## Other roles at Health Services Advisory Group, Inc.

- [Senior Auditor (Healthcare)](https://feeny.ai/job/senior-auditor-healthcare-health-services-advisory-group-inc-remote-t9ggpw1qgrek)
- [Project Coordinator III - OQR](https://feeny.ai/job/project-coordinator-iii-oqr-health-services-advisory-group-inc-remote-vsbqqfrc1j7s)
- [508 Compliance Specialist - Remote](https://feeny.ai/job/508-compliance-specialist-remote-health-services-advisory-group-inc-remote-rdtbj59z1jr5)
- [Project Manager EQRO - IA, MI, NV](https://feeny.ai/job/project-manager-eqro-ia-mi-nv-health-services-advisory-group-inc-remote-8j0cn0gc02ee)
- [Director of Medicaid Services - REMOTE](https://feeny.ai/job/director-of-medicaid-services-remote-health-services-advisory-group-inc-remote-rjmnwer654kb)
- [Business Intelligence (BI) Developer I - QUICKSIGHT](https://feeny.ai/job/business-intelligence-bi-developer-i-quicksight-health-services-advisory-group-sx3nvs896kh5)
- [Analyst I - REMOTE](https://feeny.ai/job/analyst-i-remote-health-services-advisory-group-inc-remote-xzpga9mvyc4p)