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 2025 Salary.com)
Minimum Qualifications:
Bachelor’s degree in a related field and seven (7) years related audit management/operational experience of which three (3) years of auditing experience in a supervisory role.
Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information Systems Auditor (CISA) required.
Job Summary:
Manage multiple independent, objective assurance and advisory activities over various operational areas to evaluate and improve the adequacy and effectiveness of risk management, internal controls, and governance processes. Assist the Chief Audit Executive (CAE) in administrative matters to enable the Department to fulfill its mission
Job Duties:
Salary Range:
Actual salary commensurate with experience.
Work Schedule:
Partial remote, must be able to come to campus as needed, Monday through Friday, 8am to 5pm, and as needed on occasion.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.
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