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Hsag Jobs (NOW HIRING)

Care Navigators On Demand

$39 - $45/hr

Knowledge of NCQA, CMS, HSAG, and health plan requirements related to utilization management. 6.Knowledgeable with the pre-authorization process and workflow, with prior authorization experience ...

Prime Healthcare

RAC Manager

Ontario, CA

$71K - $94K/yr

Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG, Pre/Post Probes, HSAG and M-Cal), and others as they are created. Working with the Supervisor(s), a ...

Prime Healthcare Management Inc

RAC Manager

Ontario, CA · On-site

$71K - $94K/yr

Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG, Pre/Post Probes, HSAG and M-Cal), and others as they are created. Working with the Supervisor(s), a ...

Prime Healthcare Management Inc

RAC Manager

Ontario, CA · On-site

$71K - $94K/yr

Is responsible for maintaining integrity of tracking Government review audits (RAC, MAC, CERT, OIG, Pre/Post Probes, HSAG and M-Cal), and others as they are created. Working with the Supervisor(s), a ...

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Hsag information

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How much do hsag jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for hsag in the United States is $17.98, according to ZipRecruiter salary data. Most workers in this role earn between $14.66 and $20.19 per hour, depending on experience, location, and employer.

What is a HSAG?

HSAG stands for Health Services Advisory Group. HSAGs are organizations that work to improve the quality of healthcare services by evaluating care, providing technical assistance, and supporting quality improvement initiatives for healthcare providers and government agencies. They often serve as Quality Improvement Organizations (QIOs) for Medicare and Medicaid programs, helping to ensure that beneficiaries receive safe, effective, and efficient care. HSAGs may also conduct audits, offer training, and support data analysis to enhance healthcare outcomes.

What are the key skills and qualifications needed to thrive as a Health Services Advisory Group (HSAG) professional?

To thrive as a Health Services Advisory Group (HSAG) professional, you typically need expertise in healthcare quality improvement, data analysis, and regulatory compliance, often supported by a degree in nursing, public health, or a related field. Familiarity with quality measurement tools, healthcare data systems, and CMS (Centers for Medicare & Medicaid Services) reporting platforms is essential. Strong analytical thinking, attention to detail, and effective communication are valuable soft skills in this role. These skills enable professionals to drive healthcare quality initiatives, ensure regulatory adherence, and collaborate effectively with healthcare organizations for optimal patient outcomes.

What are some common challenges faced by Health Services Advisory Group (HSAG) professionals when working on quality improvement projects?

Professionals at HSAG often encounter challenges such as managing diverse stakeholder expectations, navigating complex healthcare regulations, and addressing data quality issues when evaluating program outcomes. Collaborating with healthcare providers and government agencies requires strong communication and project management skills to ensure alignment and timely project delivery. Additionally, adapting to evolving healthcare standards while maintaining high-quality reporting can be demanding but offers significant opportunities for professional growth.

What is the difference between Hsag vs Safety Coordinator?

AspectHsagSafety Coordinator
CertificationsOSHA 30-hour, Hsag-specific trainingOSHA 30-hour, safety certifications
Work EnvironmentConstruction sites, industrial settingsOffice, construction sites, industrial environments
Employer & Industry UsageConstruction companies, industrial firmsConstruction, manufacturing, corporate safety departments

Both Hsag and Safety Coordinator roles focus on safety compliance and risk management. Hsag typically refers to a specific safety role within construction or industrial settings, often requiring specialized training. Safety Coordinators have broader responsibilities across various industries, overseeing safety programs and compliance. While overlapping in certifications and work environments, Hsag roles are more specialized, whereas Safety Coordinators often handle wider safety management tasks.

More about Hsag jobs
What cities are hiring for Hsag jobs? Cities with the most Hsag job openings:
What states have the most Hsag jobs? States with the most job openings for Hsag jobs include:
What job categories do people searching Hsag jobs look for? The top searched job categories for Hsag jobs are:
Hsag jobs near you
Infographic showing various Hsag job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 91% In-person, and 9% Hybrid job distribution, with an average salary of $37,391 per year, or $18 per hour.

Utilization Review Supervisor (PCN 1547)

Oakland Community Health Network

Troy, MI • On-site

$70K - $87K/yr

Full-time

Posted 29 days ago

Job description

Job Summary

The Supervisor of Utilization Review (UR) oversees the development, implementation, and maintenance of Utilization Review (UR) clinical policies, procedures, and protocols. This position supervises UR Analysts and Acute Care Authorization Analysts and provides clinical and operational oversight for crisis authorizations, concurrent reviews, acute care utilization, high-risk cases, care coordination, and discharge planning.

The UR Supervisor collaborates with providers, hospitals, state facilities, community partners, and internal OCHN departments to ensure appropriate, effective, and efficient use of resources. Responsibilities include supporting NCQA compliance, MDHHS reporting, appeals and due process requirements, case consultation, quality improvement initiatives, and data analysis. The position also participates in management meetings, workgroups, and strategic initiatives while ensuring compliance with regulatory, accreditation, and organizational standards.

Essential Functions

  • Supervise and evaluate Utilization Review (UR) and Acute Care Authorization staff to ensure adherence to clinical criteria, business rules, regulatory requirements, and organizational policies.
  • Provide leadership, oversight, and support for Acute Care Authorization staff responsible for 24/7 operations, ensuring continuity of services, timely decision-making, and compliance with organizational and regulatory requirements.
  • Oversee reviews of admissions, continued stays, and lengths of stay to ensure clinical appropriateness and compliance with reimbursement, accreditation, and regulatory standards.
  • Provide clinical oversight, advocacy, and authorization support for individuals requiring acute care, State Facility placement, enhanced staffing, or higher levels of care.
  • Collaborate with network providers, acute care hospitals, state psychiatric facilities, and interdisciplinary treatment teams to facilitate utilization review activities, continuity of care, and effective discharge planning.
  • Ensure timely and comprehensive review of clinical information, including accurate documentation of decisions and supporting rationale.
  • Lead onboarding, training, coaching, and inter-rater reliability activities, including use of the MCG Parity Tool.
  • Develop, implement, and maintain utilization of review policies, procedures, protocols, and quality improvement initiatives, including those related to NCQA and HSAG requirements.
  • Monitor compliance with authorization, denial, appeal, and reporting requirements established by MDHHS, NCQA, and other regulatory agencies.
  • Analyze, monitor, and report utilization data, including hospital census, admissions, discharges, lengths of stay, recidivism, and staff performance trends to identify improvement opportunities.
  • Participate in organizational committees, workgroups, and initiatives.
  • Represent the Utilization Review department in meetings and special projects assigned by leadership.
  • Participate in quality improvement initiatives, interdisciplinary workgroups, provider collaboration, audits, appeals, and other utilization management and review activities to support organizational performance and regulatory compliance.
  • Perform other duties as assigned.

Job Requirements and Qualifications

Education:

  • Master's degree in mental health field.
  • Training Requirements (licenses, programs, or certificates):

      • Possession and maintenance of a current, unrestricted State of Michigan professional license in one of the following disciplines:
        • Licensed Psychologist (LLP or LP)
        • Licensed Master's Social Worker (LMSW)
        • Licensed Professional Counselor (LPC)
        • Licensed Marriage and Family Therapist (LMFT)
        • Registered Nurse (RN)
        ​Must maintain Child Diagnostic and Treatment Professional (CDTP) eligibility, including 24 hours of annual child-specific training.

Experience Requirements:

  • Minimum of three (3) years of relevant post-graduate clinical experience providing services to adults with mental illness, intellectual or developmental disabilities, and/or substance use disorders, as well as children with serious emotional disturbance and/or intellectual or developmental disabilities.

Preferred Experience:

  • Experience within a Community Mental Health Services Program (CMHSP), Prepaid Inpatient Health Plan (PIHP), Managed Care Organization (MCO), hospital, or behavioral health setting.
  • Experience with NCQA, MDHHS, HSAG, and/or accreditation and regulatory compliance activities.
  • Experience withutilizationofthe MCG Parity Tool.
  • Experience within the Oakland Community Health Network (OCHN) provider network.

Knowledge Requirements: 

  • Knowledge of the Michigan Mental Health Code. 
  • Medicaid rules, regulations, and Michigan Medicaid Provider Manual. 
  • Preference for knowledge of the PIHP responsibilities forutilizationmanagement.
  • Managed Care and Utilization ManagementPrinciples

Job Specific Competencies/Skills

  • Demonstratedstrong interpersonal skills with a proven ability to collaborate effectively in cross-functional and team-oriented environments.
  • Skilled in negotiation and stakeholder engagement, fostering productiverelationships,and achieving mutually beneficial outcomes.
  • Excellent written and verbal communication skills, with the ability to convey complex information clearly and professionally.
  • Proficient in computer applications and project management practices, ensuring efficient coordination, execution, and successful delivery of initiatives.

In addition, the following are preferred competencies:

  • Demonstrated experience in quality assurance and quality monitoring
  • Demonstrated experience in the application of medical necessity
  • Demonstrated experience in data analysis and outcome measurement
  • Demonstrated understanding of the application and outcome measurement of Evidence Based Practices.

Oakland Community Health Network’s Core Competencies:

  • Interacting with others in a way that gives them confidence in one’s intentions and those of the organization; demonstrating loyalty to the organization and its mission and values; maintaining social, ethical, and organizational norms; firmly adhering to codes of conduct and ethical principles. (Integrity/Building Trust)
  • Making customers and their needs a primary focus of one’s actions; developing and sustaining productive customer relationships, recognizing that the ultimate customer is the person served. (Customer Focus)
  • Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application. (Continuous Learning)
  • Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence in addition to consciously adopting organizational standards of excellence. (Work Standards)
  • Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. (Communication)

Additional Information

(Travel required, physical requirements, schedules, etc.):

  • Must have available means of transportation to and from OCHN and for required offsite meetings or site visits.
  • Must be available for meetings and events which may occur outside of standard office hours.
  • Work performed primarily in an office environment.
  • Hybrid (onsite/remote) work schedule available.
  • The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.

OCHN is committed to building a diverse team and fostering an inclusive and equitable culture. We are proud to be an equal opportunity employer that embraces and encourages our employees' differences. This includes (but is not limited to) ability, age, color, family type, gender expression and identity, individual expression, medical conditions, national origin, pregnancy, race, religion, sexual orientation, veteran status, and all other diverse and wonderful characteristics.