Claims Quality Audit Director jobs in Galveston, TX

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)

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Audit Services Manager (CIA, CISA, or CPA), Partial Remote - Audit Services
  • Audit Services - UTMB Health Careers
  • Galveston, TX FULL_TIME
  • 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:

    • Manage multiple independent, objective assurance and consulting engagements to ensure that professional standards are met and that department resources are effectively and efficiently utilized. Monitor the implementation status of engagement recommendations.
    • Interact with and build strong working relationships with UTMB leadership at both a senior and departmental level on an ongoing basis and through such activities as serving on committees, roundtables, institutional task forces, and with other University of Texas component institution’s internal audit departments.
    • Participate in a management team assisting the Director and Chief Audit Executive in administrative areas such as planning and budget development, training and staff development, performance appraisal, compensation and employment decisions, recruitment, and scheduling.
    • Assist the Director and Chief Audit Executive in the annual risk assessment process and in the development of annual and long-range audit plans for presentation to the Institutional Audit Committee.
    • Stay informed of, and advise, audit management and staff concerning emerging risks/issues and changes in regulatory compliance requirements, departmental policies, professional auditing standards, data analytics, and best practices.
    • Work on special projects, and advisory engagements at the request of the Director or Chief Audit Executive.
    • Adhere to internal controls established for the department to ensure compliance with professional auditing standards.
    • Assist in educating staff in the use of computerized auditing tools.
    • Provide day-to-day supervision, guidance, and coaching to staff to ensure assignments are executed in a timely, complete, and accurate manner.
    • Assist in personnel activities including recruitment, selection, hiring, termination, training, professional development, mentoring, counseling, and annual performance evaluations.
    • Provide management with information regarding engagement performance, and assess professional development needs.
    • Assist in departmental administrative duties and responsibilities as assigned by the Director or Chief Audit Executive.
    • Assist in other administrative areas such as external audit liaison, quality assurance management, researching significant purchases, coordinating in-house training and orientation programs, and fulfilling certain transaction approval functions on a backup basis.
    • Preform related duties as required.

    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.

    Compensation
  • 1 Month Ago

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Field Claims Adjuster
  • EAC Claims Solutions LLC
  • League, TX CONTRACTOR
  • At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and comp...
  • 30 Days Ago

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Quality Management Spec, Lab Services - Quality Team
  • Quality Team - UTMB Health Careers
  • Galveston, TX FULL_TIME
  • JOB DESCRIPTION Scope: Provides quality, safety, and regulatory compliance support for all laboratories and phlebotomy locations functioning under the Department of Laboratory Services. Function: To s...
  • 16 Days Ago

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Field Roof Inspector - League City, TX
  • Hancock Claims Consultants
  • League, TX CONTRACTOR
  • Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.At Hancock, we are at t...
  • 29 Days Ago

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Property adjuster
  • EAC Claims Solutions LLC
  • League, TX FULL_TIME
  • At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and comp...
  • 4 Days Ago

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Assistant, Associate, Professor - T/TT/NTT Nursing - PhD Program Director- School of Nursing
  • T/TT/NTT Nursing - PhD Program Director- School of Nursing - UTMB Health Careers
  • Galveston, TX FULL_TIME
  • The University of Texas Medical Branch School of Nursing at Galveston invites applications for full time PhD faculty (tenure/tenure-track/non-tenure track) in the Department of Graduate Studies. We ar...
  • 2 Months Ago

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0 Claims Quality Audit Director jobs found in Galveston, TX area

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Project Scheduler - Maritime Industry
  • AMPHITRITE RESOURCE GROUP, LLC
  • Galveston, TX
  • This company is a customer-driven leader in the marine and offshore industries, delivering unwavering quality and an unc...
  • 1/19/2025 12:00:00 AM

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Center Director
  • Kingdom Kare Learning Center
  • La Marque, TX
  • Job Description Job Description We are seeking a passionate and proactive leader to oversee our Learning Center with a c...
  • 1/18/2025 12:00:00 AM

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Production Engineer
  • Celanese
  • Pasadena, TX
  • Celanese Corporation is a global chemical leader in the production of differentiated chemistry solutions and specialty m...
  • 1/17/2025 12:00:00 AM

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Registered Nurse RN Case Manager
  • HCA Houston Healthcare Mainland
  • Texas City, TX
  • Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, emp...
  • 1/17/2025 12:00:00 AM

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Quality Control Inspector
  • John Crane
  • Pasadena, TX
  • Job Description Job Description About Us Founded in 1917, John Crane is a global leader in the design, manufacturing, an...
  • 1/16/2025 12:00:00 AM

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Physical Therapist
  • Doctor's Choice Home Care & Hospice Texas
  • La Marque, TX
  • Summary of Essential Functions for the Position: Committed to Caring, A Physical Therapist (PT) administers physical the...
  • 1/16/2025 12:00:00 AM

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Production Engineer
  • Culbertson Resources Inc
  • Pasadena, TX
  • Take the next step in your engineering journey and contribute to cutting-edge projects! We’re more than a company—we’re ...
  • 1/15/2025 12:00:00 AM

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Patient Transport Operations Manager 2
  • Sodexo
  • GALVESTON, TX
  • Role Overview: Sodexo is seeking a Patient Transport Operations Manager 2, to work within our Patient Transport departme...
  • 1/15/2025 12:00:00 AM

The city of Galveston is situated on Galveston Island, a barrier island off the Texas Gulf coast near the mainland coast. Made up of mostly sand-sized particles and smaller amounts of finer mud sediments and larger gravel-sized sediments, the island is unstable, affected by water and weather, and can shift its boundaries through erosion. The city is about 45 miles (72 km) southeast of downtown Houston. The island is oriented generally northeast-southwest, with the Gulf of Mexico on the east and south, West Bay on the west, and Galveston Bay on the north. The island's main access point from the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$154,874 to $221,335
Galveston, Texas area prices
were up 1.2% from a year ago

Claims Quality Audit Director in Olympia, WA
Based on our compensation data, the estimated salary potential for Claims Quality Audit Director will increase 16 % over 5 years.
December 23, 2019