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 2024 Salary.com)

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Senior Manager- Quality - Dynamic Audit Solution
  • Quality - Dynamic Audit Solution - the Association Careers
  • Durham, NC FULL_TIME
  • About the Role:

    Be a lead reviewer on certain areas of the Dynamic Audit Solution and OnPoint Employee Benefit Plan applications to support the quality assurance process related to the development of those applications, and any other products developed by the department, to ensure that the products are fit for purpose, and meet both external and internal requirements, including all technical standards. Communicate such findings to the methodology lead and other DAS or OnPoint development team members. Also provide other related support to the Senior Director and Associate Director – Audit Methodology, Guidance, & QA.

    You Will:

    • Perform detailed QA reviews to ensure that products comply with relevant technical standards and fit for purpose, bringing QA reviews and auditing experience to the QA function. Develop controls and documentation of procedures.
    • Identify issues and concerns related to compliance with standards and functionality of the apps driving such compliance.
    • Communicate findings to appropriate partners from the performance of the QA reviews in an understandable way and manage resolution of the matters identified.
    • Investigate problems and develop dispositions and corrective actions for recurring discrepancies.
    • Develop detailed understanding of the applications to ensure ongoing evaluations.
    • Evaluate and monitor tools, methodologies, and automation to ensure testing and identification of defects.
    • Support the efforts to create, establish and manage the quality system, including policies, procedures, standards, and recordkeeping systems following relevant quality standards.

    You Have:

    • CPA
    • Bachelor's degree
    • 7 years of public accounting or relevant experience that delivers understanding of the accounting profession and auditing/assurance services and quality control processes
    • Working knowledge of the audit and accounting standards (AICPA, PCAOB, and FASB), including the ethics, quality control, and peer review standards
    • Knowledge of auditing/assurance services
    • Knowledge in QCM and/or peer reviews

    How We Support You:

    We provide flexibility to help you achieve a good work-life balance. You'll be part of a global, diverse team who foster an environment of inclusion and belonging where you are valued for who you are and where you come from.

    We offer benefit options in and out of the workplace, including healthcare, retirement, paid time-off, parental leave, an employee assistance program. We provide resources that support your mental health, and evolve our offerings to meet your needs. We care about our employees' welfare and focus our benefits package on the benefits which support your wellbeing. We also recognize that everyone has different priorities, so in addition to our core benefits to support your health we offer flexible options for you to choose benefits that are right for you, your family and your lifestyle.

    We believe in non-stop learning and are committed to investing in learning opportunities that help you reach your full potential and support your continued development.

    About Us:

    At The Association, a Great Place to Work-Certified company, we are transforming the accounting and finance profession. We are future-focused, empowering the world's most accomplished accountants to stay relevant, meet today's demands, and prepare for tomorrow's challenges through quality education, resources, and training.

    Learn more about The Association on LinkedIn and our Career Site.

    #LI-Remote #GreatPlacetoWork

    We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

    This role is not intended to be based and/or filled in NYC and therefore the salary is not published. If you are an NYC resident and wish to be considered for this opportunity, please reach out to the recruiter listed on the posting and they will be happy to provide you any further information.

    You Have:

    • CPA

    • Bachelor's degree

    • 7 years of public accounting or relevant experience that delivers understanding of the accounting profession and auditing/assurance services and quality control processes

    • Working knowledge of the audit and accounting standards (AICPA, PCAOB, and FASB), including the ethics, quality control, and peer review standards

    • Knowledge of auditing/assurance services

    • Knowledge in QCM and/or peer reviews

    How We Support You:

    We provide flexibility to help you achieve a good work-life balance. You'll be part of a global, diverse team who foster an environment of inclusion and belonging where you are valued for who you are and where you come from.

    We offer benefit options in and out of the workplace, including healthcare, retirement, paid time-off, parental leave, an employee assistance program. We provide resources that support your mental health, and evolve our offerings to meet your needs. We care about our employees' welfare and focus our benefits package on the benefits which support your wellbeing. We also recognize that everyone has different priorities, so in addition to our core benefits to support your health we offer flexible options for you to choose benefits that are right for you, your family and your lifestyle.

    We believe in non-stop learning and are committed to investing in learning opportunities that help you reach your full potential and support your continued development.

    About Us:

    At The Association, a Great Place to Work-Certified company, we are transforming the accounting and finance profession. We are future-focused, empowering the world's most accomplished accountants to stay relevant, meet today's demands, and prepare for tomorrow's challenges through quality education, resources, and training.

    Learn more about The Association on LinkedIn and our Career Site.

    #LI-Remote #GreatPlacetoWork

    We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

    This role is not intended to be based and/or filled in NYC and therefore the salary is not published. If you are an NYC resident and wish to be considered for this opportunity, please reach out to the recruiter listed on the posting and they will be happy to provide you any further information.

    Additional Information
  • 1 Month Ago

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Complex Claims Director, General Liability
  • AIG Claims, Inc.
  • Parsippany, NJ FULL_TIME
  • Who we areAmerican International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty...
  • 16 Days Ago

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Director of Claims Quality - Hybrid (NYC)
  • Athari
  • New York, NY FULL_TIME
  • ***MUST HAVE MANAGED CARE EXPERIENCE WITHIN NYS HEALTHCARE PROVIDER NETWORKS***The Director of Claims Quality has responsibility for the creation, delivery, and ongoing facilitation of a data and metr...
  • 1 Month Ago

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Director of Claims Quality - Hybrid (NYC)
  • RemoteWorker US
  • New York, NY FULL_TIME
  • Job DescriptionJob Description***MUST HAVE MANAGED CARE EXPERIENCE WITHIN NYS HEALTHCARE PROVIDER NETWORKS***The Director of Claims Quality has responsibility for the creation, delivery, and ongoing f...
  • 15 Days Ago

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Director of Internal Audit Quality and Improvement
  • BTAG Baker Tilly Advisory Group, LP
  • Frisco, TX FULL_TIME
  • Overview Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world’s leading...
  • 1 Month Ago

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Director of Internal Audit Quality and Improvement
  • Baker Tilly
  • Frisco, TX FULL_TIME
  • OverviewBaker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world’s leading ...
  • 23 Days Ago

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Home Health Director of Quality Outcomes
  • FC Compassus LLC
  • Columbus, OH
  • Company: OhioHealth at Home Position Summary The Home Health Director of Quality Outcomes is responsible for modeling th...
  • 10/31/2024 12:00:00 AM

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Sr. Director Quality
  • T. Marzetti Company
  • Columbus, OH
  • About Us: T. Marzetti Company, a wholly owned subsidiary of Lancaster Colony Corporation (NASDAQ: LANC), is a manufactur...
  • 10/31/2024 12:00:00 AM

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Production Operator, Processing - Weekends/Night shift - Columbus Plant
  • Abbott
  • Columbus, OH
  • Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-chan...
  • 10/31/2024 12:00:00 AM

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Deputy Plant Manager
  • Faurecia Interior Systems
  • Columbus, OH
  • Forvia, a sustainable mobility technology leader We pioneer technology for mobility experience that matter to people. Yo...
  • 10/30/2024 12:00:00 AM

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Quality Assurance Analyst
  • JPMorgan Chase & Co.
  • Columbus, OH
  • JobID: 210564123 Category: Quality Analysis JobSchedule: Full time Posted Date: 2024-10-21T18:37:52+00:00 JobShift: : Th...
  • 10/30/2024 12:00:00 AM

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Director of Global Quality
  • Confidential Company
  • Columbus, OH
  • Position Summary We are seeking a Global Quality Director to develop and manage our Quality Management System (QMS) to d...
  • 10/29/2024 12:00:00 AM

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Lead Outpatient Therapist
  • Lifepoint Health
  • Dublin, OH
  • Overview: Lead Outpatient Therapist (LISW-S) $7,500 Sign On Bonus Columbus Springs Dublin, part of Lifepoint Behavioral ...
  • 10/28/2024 12:00:00 AM

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Associate Director, Quality Program Coordination
  • Ohio State University
  • Columbus, OH
  • Director, Associate, Quality, Program, Technology, Education
  • 10/28/2024 12:00:00 AM

Income Estimation for Claims Quality Audit Director jobs
$153,986 to $220,069