Claims Quality Audit Director jobs in New Mexico

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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Internal Audit Manager/Director
  • Robert Half
  • Albuquerque, NM PER_DIEM
  • SummaryResponsible for scheduling, supervising, training, and developing the Audit Team while protecting company assets. Adheres to and enforces all government regulations as well as established department and company policies, procedures, and internal controls. Excels at guest and team member support and customer service while promoting a positive and professional atmosphere. Responsible for ensuring that the casino department remains compliant with gaming regulations, internal controls and accounting procedures. Works with the audit team to prepare for gaming and external audits. As Internal Audit, the individual will be responsible for contributing to the design and implementation of audit processes, procedures and methodologies. They will plan and perform operational audits to ensure compliance with applicable local, state and federal regulations, corporate standards and generally accepted internal audit standards.*** Contact Joe Mercadante at (505) 465-7515 for more information.This is a great growth opportunity with this long-standing Albuquerque organization!Position is Onsitewill focus on enhancing internal audit processes and supervise internal auditorsEssential Duties and Responsibilities• Responsible for efficient and professional operation of the Audit Team.• Delegates audit duties and assigns those responsibilities as needed.• Works with the Controller to establish policies and procedures.• Responsible for the overall direction, coordination, and evaluation of the Audit Team • Develops audit staff including hiring, training, mentoring, and evaluation processes• Safeguards company assets. • Attends periodic meetings and training sessions.• Reconcile revenue/cost center paperwork to ensure that proper controls are in place• Reviews new or changed casino policies to verify compliance with gaming regulations and internal controls.• Performs/directs the verification of daily drop records to ensure accuracy and completion• Evaluates casino documents to determine any deficiencies and errors• Performs/directs daily casino audit – verifies documents and data to ensure proper reporting on all forms.• Tracks and manages timely corrections required by the various casino areas• Verifies that casino documents and information are in order and prepared for external audits• Ensures casino compliance with Federal, State and Local Laws as well as gaming regulations and internal controls• Prepare and execute scheduled audits including planning, preparation, execution, reporting and follow-up • Demonstrate high standards of conduct and ethics as well as the ability to use appropriate judgment and discretion• Coordinate and conduct special audits, investigations, and/or ad-hoc projects with minimal supervision and direction• Create, revise and document Casino Audit and Internal Audit policies and procedures• Create, revise and submit Internal Audit Charter and Audit Plan to Management for approval as requested
  • 5 Days Ago

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Billing/Claims Assistant Director
  • Mental Health Resources, Inc
  • Clovis, NM FULL_TIME
  • DescriptionSubmits claims and billings electronically using patient portals. Process EOBs. Maintains constant communication with MCO’s to ensure timely filing. Advocate with MCO’s for insurance rate r...
  • 28 Days Ago

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Director of Quality
  • Mimbres Memorial
  • Deming, NM FULL_TIME
  • At Mimbres Memorial Hospital and Nursing Home located in beautiful Deming, New Mexico, we take caring for people very personally. In fact, our goal is to treat every person who turns to us for care li...
  • 1 Month Ago

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Director of Quality
  • Mimbres Memorial Hospital
  • Deming, NM FULL_TIME
  • At Mimbres Memorial Hospital and Nursing Home located in beautiful Deming, New Mexico, we take caring for people very personally. In fact, our goal is to treat every person who turns to us for care li...
  • 1 Month Ago

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Director Quality
  • Watertown Regional Medical Center
  • Las Cruces, NM FULL_TIME
  • Memorial Medical CenterDescription Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Memorial Medical Center is a 199-bed ho...
  • 1 Month Ago

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NM - Albuquerque - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Albuquerque, NM FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 16 Days Ago

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Director of Quality Management
  • Select Specialty Hospital - Willingboro
  • Willingboro, NJ
  • Overview: Critical Illness Recovery Hospital Director of Quality Management $15,000 Sign-on Bonus At Select Specialty Ho...
  • 6/12/2024 12:00:00 AM

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Director of Quality Management
  • Bancroft
  • Cherry Hill, NJ
  • Overview: Are you looking for a new professional challenge? Do you want to build a fulfilling career with real purpose? ...
  • 6/12/2024 12:00:00 AM

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Director of Quality Control
  • RF Hiring Solutions
  • Director of Quality Control Reports To: Chief Executive Officer Summary: Director of Quality Control will ensure that th...
  • 6/11/2024 12:00:00 AM

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Senior Director of Quality Control
  • Ascend Advanced Therapies
  • Alachua, FL
  • Title: Senior Director of Quality Control Reporting to: VP Quality Location: Alachua, Florida, USA (On-site role) The Al...
  • 6/11/2024 12:00:00 AM

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Director of Quality Control
  • Kalon Executive Search for Health and Wellness
  • Los Angeles, CA
  • Our client, a health and wellness company are seeking a qualified Director of Quality Control to help build a solid, sta...
  • 6/10/2024 12:00:00 AM

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Director of Quality Control
  • Partnership Employment
  • New York, NY
  • Our client, a well-known fast casual chain, is looking to hire a Director of Quality Control in their Bronx office. Oppo...
  • 6/10/2024 12:00:00 AM

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Director of Quality Control
  • Kinetics
  • Durham, NC
  • Founded in 1973, Kinetics is a global full-service process and mechanical contractor specializing in the design and inst...
  • 6/10/2024 12:00:00 AM

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Director of Quality Control
  • ADAGE INNOVATIONS INC
  • Alexandria, VA
  • Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opport...
  • 6/10/2024 12:00:00 AM

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$140,520 to $200,820

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