Claims Quality Audit Director jobs in Bangor, ME

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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Director, Global Quality
  • The Jackson Laboratory
  • Bar Harbor, ME FULL_TIME
  • We are a global organization with a mission to provide high-quality animal models and services to our customers. As part of our commitment to excellence and continuous improvement, we are currently looking for a Director of Global Quality to lead our Quality Assurance efforts across multiple sites. The ideal candidate should have experience as a progressive hiring manager and demonstrated success in building and leading a high performing team. Additionally, the candidate will have proven experience in the ability to quickly assess business deliverables and build a cohesive and impactful business plan that will positively impact and inform the build of a Quality Management System (QMS). Key Responsibilities: Develop and implement a comprehensive global quality strategy aligned with business objectives. Maintain quality management systems and procedures to ensure compliance with industry standards. Lead audits, CAPAs and supplier management programs. Monitor and analyze metrics to identify trends and opportunities for improvement. Collaborate with cross-functional teams in the business unit, operations, project management and customer service. Lead the quality assurance team in the area of continuous learning incorporating Lean practices. Develop and deliver training programs associated with quality assurance best practices. Knowledge, Skills, and Abilities Bachelor’s degree in a scientific field, advanced degree preferred. Extensive experience in quality assurance with a minimum of 6 years in a leadership role preferred. Demonstrated experience in building a Quality Management System in a start up or established business and leading the business through ISO or similar certification. Proven problem-solving skills. Ability to successfully collaborate cross-functionally; a known bridge-builder. Willingness to travel domestically and internationally as needed. Willing to relocate within 100 miles of Bar Harbor Maine or Sacramento California Experience as an auditee, 10 or more audits Experience in QMS software design deployment ASQ Certifications required: CMQ/OE, CQA ASQ Certifications preferred: CSQP, CQIA, CQPA, CQE, CPGP Pay Range: $133,785 - $223,986 About JAX: The Jackson Laboratory is an independent, nonprofit biomedical research institution with a National Cancer Institute-designated Cancer Center and nearly 3,000 employees in locations across the United States (Maine, Connecticut, California), Japan and China. Its mission is to discover precise genomic solutions for disease and empower the global biomedical community in the shared quest to improve human health. Founded in 1929, JAX applies over nine decades of expertise in genetics to increase understanding of human disease, advancing treatments and cures for cancer, neurological and immune disorders, diabetes, aging and heart disease. It models and interprets genomic complexity, integrates basic research with clinical application, educates current and future scientists, and provides critical data, tools and services to the global biomedical community. For more information, please visit www.jax.org. EEO Statement: The Jackson Laboratory provides equal employment opportunities to all employees and applicants for employment in all job classifications without regard to race, color, religion, age, mental disability, physical disability, medical condition, gender, sexual orientation, genetic information, ancestry, marital status, national origin, veteran status, and other classifications protected by applicable state and local non-discrimination laws. Bar Harbor: The Jackson Laboratory's 43-acre scenic Bar Harbor campus is nestled between the Gulf of Maine and the mountains of Acadia National Park. Some of the best hiking and biking in the world (over 50 square miles of mountains, lakes, views, and dramatic coastline) is accessible from our campus. We are one mile from downtown Bar Harbor, which offers a vibrant downtown district with a plethora of restaurants, shops, museums, and galleries. Ellsworth: The Charles E. Hewett Center in Ellsworth, Maine, is a state-of-the-art facility that serves researchers world wide. The facility represents the culmination of nine decades of unmatched experience and leadership in breeding and caring for laboratory mice. Ellsworth, Maine, is one of Maine’s fastest growing cities. With a growth rate of nearly 20%, Ellsworth is a bustling year-round community and acts as a hub for surrounding towns. It is located nearby Acadia National Park and hosts numerous special events, concerts and festivals each year. Residents have access to fabulous shopping, recreation, museums, galleries, and dining at a variety of independent restaurants. Farmington: JAX Genomic Medicine is transforming medicine by improving patient care, lowering costs, and increasing life span and health span. JAX Genomic Medicine’s research focuses on the complex genetic causes of disease and on the development of genomic solutions tailored to each person's unique genetic makeup. JAX Genomic Medicine sits on a 17-acre site on the campus of the University of Connecticut Health Center. The 183,500-square-foot facility opened in the fall of 2014. Now, it houses over 300 biomedical researchers, technicians, and support staff in state-of-the-art computing facilities and laboratories. In Connecticut, JAX resides in the scenic town of Farmington, in the state’s capitol region. The Hartford region, which offers some of the best public schools in the country, is made up of both bigger cities and smaller, charming historic New England towns. JAX Genomic Medicine is also geographically located within 2 hours of Boston and New York and is close to multiple transportation systems, including bus lines, highways, railroads and international airports. Sacramento: The JAX® Mice, Clinical and Research Services facility is located in Sacramento, the state capital of California. Sacramento is less than a two-hour drive from San Francisco, Napa Valley, and scenic Lake Tahoe, and a short flight to both Los Angeles and Orange County. Sacramento is the birthplace of the nation’s Farm to Fork movement, and offers excellent restaurants, gastro-pubs, wineries, theaters, and museums. Outdoor activities are plentiful: Boating, white water rafting, and riding the scenic bicycle trails are popular. Housing and other costs of living are more affordable in Sacramento and its surrounding suburbs than in most other neighboring areas in the North Bay, making Sacramento one of the hottest housing markets in the country year after year. Augusta: JAX’s Maine Cancer Genomics Initiative (MCGI) is located in Augusta, Maine, in the Harold Alfond Center for Cancer Care (HACCC), at Maine General Hospital. It began operations in 2016 with three overarching goals: to provide cancer genomic testing for Maine cancer patients; to develop and deliver physician education about clinical genomic cancer diagnostics; and to build a network in Maine of oncology practices conducting studies in genomic medicine.
  • 1 Day Ago

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Audit Manager
  • Robert Half
  • Baton Rouge, LA PER_DIEM
  • Our reputable client is seeking an interim Audit Manager to join the company.Can you lead several audits and be responsible for their completion? Are you ready to provide your subject matter expertise...
  • 1 Day Ago

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Audit Manager
  • Robert Half
  • Metairie, LA PER_DIEM
  • Exciting opportunity with our fast-growing, well-established client expanding their team in the Greater New Orleans area for an Audit Manager! Our client offers excellent base, benefits, paid parking ...
  • 24 Days Ago

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Claims Apprentice
  • MMG Insurance
  • Presque Isle, ME FULL_TIME
  • Would you like to work to obtain a college degree without incurring student loans AND start a professional career? The MMG Apprenticeship Program is a two-year journey, where you work to earn your deg...
  • 20 Days Ago

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Registered Nurse RN
  • Quality Clinicians
  • Bangor, ME FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1300 - $2300/week Multiple shift openings Job Description/Responsibiliti...
  • 9 Days Ago

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Medical Billing/Claims/Collections
  • Robert Half
  • Metairie, LA PER_DIEM
  • You may be right for this Medical Collections Specialist role, if you have a strong sense of ownership and attention to detail. If fostering your skills as a healthcare professional is of importance, ...
  • 9 Days Ago

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0 Claims Quality Audit Director jobs found in Bangor, ME area

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OA/CTS Administrative Clerk
  • Equus
  • Bangor, ME
  • Company Description Our Job Corps programs provide life-changing services that help young people succeed in school, obta...
  • 4/26/2024 12:00:00 AM

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Academic Fieldwork Coordinator (AFWC)
  • Husson University
  • Bangor, ME
  • Location : Bangor, ME Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number: 00459 Department: Occup Therapy...
  • 4/26/2024 12:00:00 AM

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Director of Financial Aid
  • Husson University
  • Bangor, ME
  • The Director provides leadership to the Office of Financial Aid (OFA), overseeing all aspects of financial aid operation...
  • 4/25/2024 12:00:00 AM

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Retail Store Manager
  • Barnes & Noble Education, Inc.
  • Bangor, ME
  • Introduction: Barnes & Noble College is a retail partner for nearly 800 colleges and universities nationwide. We offer a...
  • 4/24/2024 12:00:00 AM

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TRAVEL NURSE RN - MED/SURG - $2,224 PER WEEK IN BANGOR, ME
  • Infojini Healthcare
  • Bangor, ME
  • ID: 48267657 Shift: Nights 7p-7a Description: Travelers Who Live within 50 miles of the facility will receive a lower lo...
  • 4/24/2024 12:00:00 AM

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Program Manager
  • The Fedcap Group
  • Bangor, ME
  • Job Description Job Description · Acts as a member of the Families Forward Leadership team. · Collaborates with the Regi...
  • 4/24/2024 12:00:00 AM

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Residential Services Director
  • Penquis
  • Bangor, ME
  • Penquis Residential Services Director Bangor , Maine Apply Now Join our Team! Penquis, a social services agency serving ...
  • 4/23/2024 12:00:00 AM

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Quality Assurance Manager
  • Somic America Inc.
  • Brewer, ME
  • SUMMARY: The Quality Manager will be responsible for developing, implementing, and coordinating the quality management s...
  • 4/22/2024 12:00:00 AM

Bangor is located at 44°48′N 68°48′W / 44.8°N 68.8°W / 44.8; -68.8. According to the United States Census Bureau, the city has a total area of 34.59 square miles (89.59 km2), of which 34.26 square miles (88.73 km2) is land and 0.33 square miles (0.85 km2) is water. A potential advantage that has always eluded exploitation is the city's location between the port city of Halifax, Nova Scotia, and the rest of Canada (as well as New York). As early as the 1870s, the city promoted a Halifax-to-New York railroad, via Bangor, as the quickest connection between North America and Europe (when combin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$145,238 to $207,566
Bangor, Maine area prices
were up 1.6% 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