Claims Quality Audit Director jobs in Delaware

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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Quality Assurance Audit Manager
  • Bank of America
  • Wilmington, DE FULL_TIME
  • Job Description:

    At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day.

    One of the keys to driving Responsible Growth is being a great place to work for our teammates around the world. We’re devoted to being a diverse and inclusive workplace for everyone. We hire individuals with a broad range of backgrounds and experiences and invest heavily in our teammates and their families by offering competitive benefits to support their physical, emotional, and financial well-being.

    Bank of America believes both in the importance of working together and offering flexibility to our employees. We use a multi-faceted approach for flexibility, depending on the various roles in our organization.

    Working at Bank of America will give you a great career with opportunities to learn, grow and make an impact, along with the power to make a difference. Join us!

    Job Description:

    This job is responsible for overseeing assigned areas of audit work acting as an Auditor-in-Charge (AIC), and executing on the audit strategy for Lines of Business (LOBs). Key responsibilities include driving risk-based auditing by defining scope and test procedures to evaluate the control environment in conformance with audit policies, assessing issues for business impact and recommending severity ratings, drafting audit reports, and managing business partner relationships. Job expectations include fostering an inclusive work environment, and mentoring team members.

    Responsibilities:

    The Quality Assurance Team is responsible for ensuring that Corporate Audit activities comply with internal policies and procedures, as well professional standards set forth by industry and regulatory institutions. Responsibilities include but are not limited to:

    • Executes quality assurance reviews of core audit activities i.e. audits, issues validation, audit plan documentation and coverage, and other special projects, using predefined attributes and challenge questions, relevant for the review type and in accordance with the QA strategy.
    • Uses sound analytical skills and possesses product, business and technical expertise to execute assigned AML QA reviews.
    • Independently executes assigned QA review and demonstrates sound project management skills.
    • Exercises critical thinking and judgment to effectively challenge and influence audit partners.
    • Should be able to identify trends and act as a catalyst for improving the audit processes and practices.
    • Should be able to independently draft quality reports and present results to senior audit management across the globe, and engage in discussions about risk and demonstrates QA and Internal Audit knowledge.
    • Works with team and shares challenges and learnings from QA review, and also provides inputs for automation and simplification.
    • Effective influence skills in communicating findings. This individual must be an articulate and effective communicator, both verbally and in writing.
    • Strong interpersonal skills for interfacing with all levels of internal and external audit and management.
    • Exercises intellectual curiosity and judgment to effectively influence and challenge management to improve the control environment and drive continuous improvements on audit
    • Maintains business partner relationships, primarily within Audit, to develop business knowledge
    • Exercises sound knowledge of product, business, and technical expertise to effectively challenge audit to improve the quality of work
    • Executes audit strategy for the sound application of risk-based auditing by defining audit scope and audit programs, and drafting audit reports leveraging automation and innovative methods in a timely and high quality manner
    • Acts as Auditor-in-Charge (AIC) by overseeing audit testing and ensuring it is executed in a timely manner and conforms with quality standards, audit policies, and procedures
    • Assesses impacts to business processes, controls, and strategies to provide recommendations on severity ratings and escalate broad themes or trends accordingly based on existing business knowledge
    • Exercises intellectual curiosity and judgment to effectively influence and challenge management to improve the control environment and drive continuous improvements on audit
    • Oversees a team of associates and provides day-to-day mentoring and guidance and fosters an inclusive work environment
    • Maintains business partner relationships, primarily with line management, to develop business knowledge
    • Exercises sound knowledge of product, business, and technical expertise to effectively challenge management to improve the control environment

    Required Qualifications:

    • Experience Range: 7-10 years (Audit Manager)
    • Strong internal audit experience
    • Good understanding of the key business processes, risks and controls
    • Strong interpersonal, leadership, and communication (both written and oral) skills
    • Strong strategic and process thinking abilities; takes a broad perspective and makes connections
    • Critical thinker, high energy and intellectual curiosity
    • Proactively looks for opportunities, solutions and process improvements, manages projects, including contracting, milestones and task management, resources, risks/dependencies
    • Results driven, outcome-oriented leadership style with a high degree of energy and work ethic that suggests personal drive and dedication
    • Excellent analytical skills
    • Able to produce high quality, accurate output under tight timeframes
    • A high level of attention to detail
    • Ability to build partnerships across a global Audit
    • Organized and able to manage workload efficiently

    Desired Qualifications:

    • Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Certified Fraud Examiner (CFE), or other related certifications
    • Experience of complex reporting, including the creation of presentations for delivery to Senior Leaders

    Skills:

    • Analytical Thinking
    • Audit Planning
    • Internal Audit Review
    • Issue Management
    • Risk Management
    • Business Acumen
    • Coaching
    • Project Management
    • Relationship Building
    • Written Communications
    • Attention to Detail
    • Automation
    • Critical Thinking
    • Technical Documentation

    Shift:

    1st shift (United States of America)

    Hours Per Week:

    40
  • 1 Day Ago

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Audit Manager - Data Quality
  • Bank of America
  • Wilmington, DE FULL_TIME
  • Job Description:At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we...
  • 24 Days Ago

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Audit Director - Regulatory Reporting
  • Bank of America
  • Wilmington, DE FULL_TIME
  • Job Description:At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we...
  • 5 Days Ago

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Audit Supervisor - Credit Risk and Data Quality SME
  • Bank of America
  • Wilmington, DE FULL_TIME
  • Job Description:At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we...
  • 7 Days Ago

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Audit Manager - Credit Risk and Data Quality SME
  • Bank of America
  • Wilmington, DE FULL_TIME
  • Job Description:At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we...
  • 8 Days Ago

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Sr Medical Director, US Emerging Portfolio and Metabolism
  • 10001001 - Director Physician
  • Wilmington, DE FULL_TIME
  • Introduction to role:Join our industry-leading BioPharmaceuticals team, where our rich and diverse pipeline speaks for itself. As a Sr. Medical Director, you will be a member of the Core Medical Team ...
  • 20 Days Ago

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Director of Quality Management
  • Milestones Behavioral Health
  • Indianapolis, IN
  • Overview: ?PURPOSE STATEMENT: ? As a dedicated Healthcare Quality and Risk Director, committed to driving excellence in ...
  • 11/9/2024 12:00:00 AM

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Director of Quality Management
  • Invictus International Consulting, LLC
  • Alexandria, VA
  • Title: Director of Quality Management Location: Alexandria, VA Clearance: TS/SCI with the ability to obtain and maintain...
  • 11/9/2024 12:00:00 AM

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Director of Quality Control
  • B.L. Harbert International
  • Birmingham, AL
  • B.L. Harbert International is looking for a Director of Quality Control to work with the International Group in Birmingh...
  • 11/8/2024 12:00:00 AM

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Associate Director of Quality Control
  • Codexis Inc
  • Plano, TX
  • Associate Director of Quality Control Department: 64 - QC & Analytical Development Employment Type: Full Time Location: ...
  • 11/8/2024 12:00:00 AM

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Director of Quality Control
  • Simply Biotech
  • San Diego, CA
  • Director, Quality Control- Simply Biotech OVERVIEW Are you looking for a new career opportunity with an exciting biotech...
  • 11/6/2024 12:00:00 AM

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Director of Quality Control
  • Meet
  • San Diego, CA
  • Director/Associate Director of Quality Control (QC) We’re partnering with a leading cellular therapy organization that i...
  • 11/6/2024 12:00:00 AM

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Associate Director of Quality Control
  • Meet
  • An innovative biotech company, specializing in oncology and autoimmune therapies, is seeking a Associate Director of Qua...
  • 11/6/2024 12:00:00 AM

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Director of Quality Control
  • B.L. Harbert International, LLC
  • Birmingham, AL
  • Job Description Job Description B.L. Harbert International is looking for a Director of Quality Control to work with the...
  • 11/6/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$156,709 to $223,957

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