Claims Quality Audit Manager jobs in Concord, NH
Claims Quality Audit Manager manages the claims quality auditors and daily activities of quality claims audit function. Reviews and tracks claims quality audit reports and measures performance of auditors. Being a Claims Quality Audit Manager provides assistance in developing claims audit policies and procedures. May provide coaching in complex claims audit. Additionally, Claims Quality Audit Manager typically requires a bachelor's degree. Typically reports to a director or head of a department. The Claims Quality Audit Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Quality Audit Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Recently Added Claims Quality Audit Manager jobs
- North Country Healthcare - QUALITY
-
Whitefield, NH
FULL_TIME
-
About North Country Healthcare (NCH):
North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve.
North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying.
Standard NCH Quality Function
Salaried, exempt
M-F, 8A-5P, (occasional evening/weekend/flex possible)
Reports to Chief Quality Officer
Job functions:
• Work with IT to develop metrics/graphs to support hospital operations
• Identify and report upon sources of process variation to support hospital operations
• Owner for all affiliate Quality metrics, including updates, reporting, and tracking
• Facilitate affiliate Quality Board / working group meetings
• Participate in improvement projects as data/variation expert and validation support
• CMS survey preparedness lead for affiliate
o Support other affiliates for CMS survey preparedness
• Data collection and entry for key affiliate/system goals, as needed and supported by the CQO
• Owner for regular data submissions to federal, state, and other government and similar agencies to maintain current and future accreditations and payments, as assigned
Education
BA in clinical, medical, or healthcare related field, or equivalent
Experience
3 years of hospital Quality experience preferred
Communication, problem solving, statistical and analytical abilities
Organizational skills
Benchmarking, quality or process management and measurement tools
- 1 Month Ago
- Robert Half
-
Spartanburg, SC
PER_DIEM
- 🌟 We’re Hiring: Audit Manager! 🌟Are you a seasoned audit professional ready to lead with confidence and make an impact? 📊✨ Join our dynamic team and help shape the future of audit excellence!📍 Loc...
- 12 Days Ago
- CyberCoders
-
Concord, NH
FULL_TIME
- Job Title: Audit/Assurance ManagerLocation: Hybrid Flexible (1 day a week in Office Required), Offices in Concord, Keene, and Lebanon, New HampshireSalary: $125k-160k Strong Bonus StructureRequirement...
- 14 Days Ago
- CyberCoders
-
Lebanon, NH
FULL_TIME
- Job Title: Audit/Assurance ManagerLocation: Hybrid Flexible (1 day a week in Office Required), Offices in Concord, Keene, and Lebanon, New HampshireSalary: $125k-160k Strong Bonus StructureRequirement...
- 22 Days Ago
- DSJ Global
-
Hillsborough, NH
FULL_TIME
- We are seeking an experienced Quality Manager to oversee and enhance our quality management system. The ideal candidate will have a strong background in quality assurance and investment casting, with ...
- Just Posted
- Robert Half
-
Exton, PA
PER_DIEM
- The Quality Manager is responsible for establishing and maintaining the site(s) Quality Management System (QMS) in conjunction with overseeing all aspects of Quality activities within an organization(...
- 13 Days Ago
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0 Claims Quality Audit Manager jobs found in Concord, NH area
- DEKA Research & Development
-
Manchester, NH
- DEKA Research and Development is seeking a Manufacturing Engineer for process development and improvement of complex mec...
- 12/11/2024 12:00:00 AM
- DEKA Research & Development
-
Manchester, NH
- DEKA Research and Development invites you to join our dynamic team and be at the forefront of driving quality excellence...
- 12/11/2024 12:00:00 AM
- Teradata
-
Concord, NH
- **Our Company** At Teradata, we believe that people thrive when empowered with better information. That's why we built t...
- 12/10/2024 12:00:00 AM
- TGI Friday's
-
Manchester, NH
- To prepare a wide variety of foods according to recipe requirements and to adhere to product sensitivities and plate pre...
- 12/10/2024 12:00:00 AM
- Sanmina-SCI
-
Manchester, NH
- Manufacturing Engineer POSITION SUMMARY/PURPOSE OF POSITION: The Manufacturing Engineer defines and implements the manuf...
- 12/10/2024 12:00:00 AM
- Hilton
-
Concord, NH
- _***This is a remote position with a preferred candidate located in Georgia or South Carolina***_ This is your chance to...
- 12/8/2024 12:00:00 AM
- Precision Castparts Corporation
-
Franklin, NH
- Production Supervisor 2nd Shift Country United States of America State / County New Hampshire City Franklin Division Str...
- 12/8/2024 12:00:00 AM
- Edgewater Technical Associates
-
Concord, NH
- Edgewater Technical Associates is seeking qualified candidates for a Quality Assurance Specialist 2 & 3 opportunity for ...
- 12/7/2024 12:00:00 AM
About Concord, New Hampshire
were up 1.4% from a year ago