Claims Quality Audit Director jobs in the United States

Claims Quality Audit Director directs and oversees the operations of the claims quality audit department to follow the audit policies, procedures and regulation. Provides professional knowledge and guidance on technical or procedural problems. Being a Claims Quality Audit Director creates claims audit policies and procedures. May recommend changes in claims processing procedures. Additionally, Claims Quality Audit Director typically requires a bachelor's degree. Typically reports to top management. The Claims Quality Audit Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Quality Audit Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2020

Quality Review and Audit Analyst
  • Tailored Management
  • Nashville, TN
  • Quality Review and Audit Analyst Schedule: Monday-Friday, 8am-5pm Contract Length: 9/14/2020-12/31 ... Assists with third party audits by completing questionnaires, validating selected claims ...
  • 2 days ago

Reinsurance Claims/ Reinsurance Specialist
  • ThreePDS Inc.
  • Seattle, WA
  • ... audit process to ensure process quality. Collaborates with peers on reinsurance developments, to support discussion and develop a point of view. Participates in training sessions, and provides input ...
  • 2 days ago

Study Director, Principal Scientist
  • Altasciences Preclinical Seattle, LLC
  • Everett, WA
  • Study Director, Principal Scientist Everett, WA, USA Req #967 Tuesday, August 4, 2020 Altasciences ... Quality Assurance (QA) audits to maintain regulatorycompliance Assures that Sponsors are ...
  • 3 days ago

Quality Director
  • Partners in Care Foundation
  • San Fernando, CA
  • Director Quality Assurance Position Summary: The Director of Quality Assurance is the key quality ... Serve as Compliance Officer for Partners in Care Foundation ลก Create, implement internal audit ...
  • 3 days ago

Director of Underwriting
  • Jobot
  • Cincinnati, OH
  • Review contestable claims and make appropriate recommendations. Assist in establishing and ... Oversee the redesign of our audit process and identification of key quality/service measurements ...
  • 3 days ago

Director of Nursing
  • Wellpath
  • Newport, AR
  • Education for Director of Nursing: * Graduated from an accredited School of Nursing Experience for ... Submits weekly and monthly reports of audits for Quality Improvement which may include Out-patient ...
  • 4 days ago

Associate Director, Clinical QA
  • Astellas
  • Northbrook, IL
  • Continuously evaluates the strategic approach, drives changes in the quality and audit program to ... Reports to the Executive Director/Senior Director/Director, CQA * Peers to this position include ...
  • 4 days ago

  • UNC Health Care
  • Eden, NC
  • The Director of Quality and Risk Management is responsible for the overall operation of the Quality ... claims/legal defense activities, and ensures adherence to all risk management guidelines. The ...
  • 5 days ago

Income Estimation for Claims Quality Audit Director jobs
$133,606 to $186,428