Healthcare Program Evaluation & Quality Audit Analyst at Rios Partners
Arlington, VA 22201, USA -
Full Time


Start Date

Immediate

Expiry Date

15 Nov, 25

Salary

0.0

Posted On

15 Aug, 25

Experience

3 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Program Evaluation, Public Health, Public Administration

Industry

Hospital/Health Care

Description

Position Description: Summary
Rios Partners is a mission-driven consulting firm creating positive change by delivering value for our clients, investing in our employees, and solving tough problems that benefit our local and global communities. We ground our approach in empathy, enabling our team members to hear our customers challenges better and work together to develop effective solutions. As a team, we know what it takes to move organizations forward with measurable, sustainable results.
Our primary consideration when evaluating candidates is alignment with our Mission and Values.

POSITION OVERVIEW:

This role centers on evaluating healthcare program effectiveness, auditing internal controls, and assessing quality standards in alignment with federal legislation (e.g., MISSION Act). The candidate will lead performance audits and provide strategic recommendations to improve care quality and data reliability.

REQUIRED QUALIFICATIONS:

  • Bachelors or Masters degree in Public Health, Health Services, Public Administration, or related field.
  • 5+ years of experience in healthcare program evaluation or audit.
  • Familiarity with federal healthcare legislation and quality standards.Strong communication and stakeholder engagement skills.
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How To Apply:

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Responsibilities
  • Conduct performance audits and evaluate internal controls for effectiveness.
  • Interview stakeholders to understand program operations and risks.
  • Assess the accuracy and reliability of data sources used to measure care quality.
  • Evaluate VA and non-VA care against industry benchmarks (e.g., HEDIS, CMS PSIs, CAHPS).
  • Review and refine audit methodology and scope in collaboration with VHA SMEs.Develop actionable recommendations for improving data collection and reporting.
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