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 2021

Director, Quality System
  • SciPro
  • San Francisco, CA
  • Director Quality System - San Francisco, CA SciPro is partnering with an exciting mission-based Bay ... audits of contract organizations and suppliers. * Participate in CMC teams supporting the filing ...
  • 14 hours ago

Director Quality Management
  • Nivano Physicians, Inc.
  • Sacramento, CA
  • Responsible for planning, developing, and directing quality policies, programs, and initiatives ... Develop and regulate internal audits * Oversee grievances filed with the Health Plans * Oversee the ...
  • 14 hours ago

Associate Director, Clinical QA Management (Remote)
  • Proclinical Staffing
  • Austin, TX
  • Proclinical is searching for a remote Associate Director of Clinical QA Management for a leading ... Support cross-functional colleagues in the development of responses for internal system audits and ...
  • yesterday

Senior Audit Manager - Quality Assurance - Regulatory Issue Validation - Institutional Clients Group
  • Citi
  • Rhome, TX
  • Citi's Internal Audit (IA) division provides independent assessments of the company's governance ... The role is based in Tampa / Irving, USA and will report to the QA RIV Director Institutional ...
  • yesterday

Senior Director (RA/QA)
  • Triple Ring Technologies
  • San Francisco, CA
  • Job Summary The Senior Director of RA/QA will lead Triple Ring's Quality Management System (QMS ... Manage the internal audit program * Develop SOPs, work instructions, guidance documents and ...
  • 2 days ago

Regence Claims Service Analyst I - Fulltime Remote in WA, OR, ID or UT
  • Cambia Health Solutions, Inc
  • Tacoma, WA
  • Perform at a level meeting production requirements and quality standards, including group ... Perform work in an orderly fashion and provide clear audit trails for ease of reviewing the overall ...
  • 2 days ago

Director of Quality Systems
  • Scientific Search
  • Redwood City, CA
  • Director, Quality Systems Location-Near San Francisco, CA Check out for ... Participate in regularly scheduled meetings with contract organizations. * Assist on Quality audits ...
  • 5 days ago

National Account Executive - Claims Relationship Manager
  • McLarens
  • San Francisco, CA
  • ... and quality is at the heart of McLarens. The professionals at McLarens live by a set of shared ... Progressing towards activity targets and KPI's set by Director New Business Development ...
  • 5 days ago

Income Estimation for Claims Quality Audit Director jobs
$136,782 to $190,862