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 Salary.com)

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Quality Engineer / Quality Technician
  • Career Personnel, icn.
  • 07869, NJ
  • Perform quality audits. Quality inspection, including use of measurement tools and sampling plans ... We specialize in Direct-Hire placements and represent the best opportunities available. We strive ...
  • 14 hours ago

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UTILIZATION MANAGEMENT NURSE SPECIALIST - Relocate to New Mexico
  • Presbyterian Healthcare Services
  • San Jose, CA
  • Conducts retrospective medical claims audits including, but not limited to, pre-existing condition ... quality of care issues. *Communicates effectively with providers, PHP medical directors, PHP/PIC ...
  • 16 hours ago

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Director of Quality Assurance
  • Outer Aisle Gourmet
  • Ventura, CA
  • Director of Quality Assurance Department:Quality Reporting:Director of Operations FLSA:Exempt ... Audit certification is a plus * Bilingual in Spanish * 5 years of supervisory experience in food ...
  • 3 days ago

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Manager Quality Compliance - Pharma
  • YOH
  • San Diego, CA
  • Yoh is looking for a Manager, Quality Compliance & Audit for a large client in San Diego, CA! The ... Ability to conduct GXP audits and manage the outcomes. * Ability to manage direct reports. * Strong ...
  • 3 days ago

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Quality Manager
  • SkillsetGroup - Professional Staffing Solutions
  • Buena Park, CA
  • ... quality audits, conduct root cause analysis and facilitate development of corrective and preventive actions to resolve issues on continual basis. * Assists the Director of QA & FS in updating and ...
  • 4 days ago

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Quality Assurance Inspector
  • Ronin Staffing
  • Los Angeles, CA
  • Will assist the QA Manager oversee the Internal & Vendor audit function of the organization. * Will ... Temporary & Direct Hire Support. This includes, but not limited to, full spectrum support ...
  • 4 days ago

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Quality Technician /Inspector-sd
  • Cube Hub
  • Hayward, CA
  • Audit Preparation Experience, Compliance knowledge and Regulations, Lead Compliance gaps and ... Interview/hire, evaluate, train and develop direct reports Perform in-depth internal assessments ...
  • 5 days ago

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DIRECTOR OF QUALITY ASSURANCE
  • CONFIDENTIAL MANUFACTURER
  • Anaheim, CA
  • Manage the plant's SQF food safety audits. Oversees the development, review and maintenance of the ... Revise and update food safety and quality programs and procedures as directed. Develop & maintain ...
  • 6 days ago

Income Estimation for Claims Quality Audit Director jobs
$132,847 to $185,379