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 2022 Salary.com)

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Revenue Cycle Analyst
  • Life Flight Network
  • Wilsonville, OR
  • Acting as a liaison between Life Flight Network and Quick Med Claims, reporting directly to the ... Audit accounts for accurate billing and coding * Review and analyze issues involving insurance ...
  • 7 hours ago

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Director of Operations & Services
  • Downtown SF Partnership
  • San Francisco, CA
  • The Director of Operations and Services is a new position and will serve on the organization ... for quality control and identifies problems requiring immediate solutions. • Audit related ...
  • yesterday

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Senior Director, Clinical Quality Assurance
  • Iovance Biotherapeutics Inc
  • San Carlos, CA
  • Salary: Overview The Senior Director, Clinical Quality Assurance will play a critical role in ... Oversee and manage the audits of contracted vendors and contract service providers. * Perform or ...
  • yesterday

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Senior Manager, Center for Audit Solutions, Broker - Dealer (Regulatory) COE (Remote Opportunity)
  • KPMG
  • Seattle, WA
  • With qualities like those, it's no wonder we're consistently ranked among the best companies to ... Manage and direct the execution of the broker-dealer service offering supporting various audit ...
  • 2 days ago

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Associate Director, Regulatory, Safety & Medical Affairs Quality Business Partner, R&D Quality an...
  • K3-Innovations, Inc.
  • Foster City, CA
  • ... audit programs which support GxP compliance. • Supports the proactive identification and ... Detailed Job Description Director, Regulatory, Safety & Medical Affairs Quality Business Partner ...
  • 2 days ago

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Clinical Director - Mental Health
  • De Vore Recruiting
  • Sacramento, CA
  • ... performs audits of Clinical Charts to ensure adherence to State and County Requirements • ... address clinical quality and risk • Completes incident investigations and summaries for ...
  • 3 days ago

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Associate Director, Drug Safety Operations
  • Corcept Therapeutics
  • Menlo Park, CA
  • Quality control of documents submitted to the TMF by PV service provider ... Assists in the management of pharmacovigilance audits and inspections Preferred Skills ...
  • 4 days ago

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Associate Director Quality Documentation & Training
  • Opiant Pharmaceuticals
  • Santa Monica, CA
  • Supports business owner of QMS systems (change management, audits, investigations, deviations ... Generates quality metrics for management review and continuous improvement initiatives
  • 5 days ago

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Director, Measure Collection & Audit
  • National Committee for Quality Assurance
  • Washington, DC FULL_TIME
  • NCQA is hiring a Director, Measure Collection & Audit! This position oversees and enhances the NCQA HEDIS® audit program...
  • 1 Month Ago

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Executive Quality Audit Director
  • Exelixis
  • King of Prussia, PA FULL_TIME
  • Company Description Every Exelixis employee is united in an ambitious cause: to launch innovative medicines that give pa...
  • 21 Days Ago

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Director, Measure Collection & Audit
  • National Committee for Quality Assurance
  • Washington, DC FULL_TIME
  • NCQA is hiring a Director, Measure Collection & Audit! This position oversees and enhances the NCQA HEDIS® audit program...
  • 1 Month Ago

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Executive Quality Audit Director
  • Exelixis
  • King of Prussia, PA FULL_TIME
  • Company DescriptionEvery Exelixis employee is united in an ambitious cause: to launch innovative medicines that give pat...
  • 21 Days Ago

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Audit Quality Director
  • BDO
  • New York, NY FULL_TIME
  • BDO’s Core Purpose is Helping People Thrive Every Day. Our Core Values reflect how we manage our work, our relationships...
  • 1 Month Ago

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Claims Quality Assurance Director
  • Gallagher
  • Issaquah, WA FULL_TIME
  • Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demon...
  • 13 Days Ago

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Claims Quality and Audit Representative - National Remote
  • UnitedHealth Group
  • Dallas, TX FULL_TIME
  • You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Energiz...
  • Just Posted

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Complex Claims Director
  • AIG Claims, Inc.
  • Nicasio, CA FULL_TIME
  • Who we are: American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years o...
  • 1 Month Ago

Income Estimation for Claims Quality Audit Director jobs
$143,761 to $200,901