Claims Quality Audit Director jobs in Oceanside, CA

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 of Audit
  • RSI Security
  • San Diego, CA FULL_TIME
  • The starting salary range is based on your experience, education, and skills.

    RSI Security is a small organization where collaboration is not only encouraged, but expected. We value relationships within our team and are intentional to build and maintain a strong team camaraderie through virtual happy hours, daily morning meetings to help us start off on the right foot, and meetings dedicated solely to professional development topics to help us develop and grow together.

    Our employees receive a competitive compensation package and enjoy various benefits such as:

    • Unlimited flex vacation
    • 9 paid holidays
    • Paid parental leave
    • 401k 100% match
    • Medical, Dental, and Vision plans
    • FSA
    • Short term disability
    • and more!

    For more information on RSI Security, please visit our website - www.rsisecurity.com or our social media RSI Security LinkedIn 

    Summary/Objective

    This position will lead IT & cybersecurity risk and control activities for the Risk & Audit department. The successful candidate will collaborate with team members to assess risk, design and implement appropriate controls, coordinate remediation efforts, investigate operational events, and consolidate the risk profile.

    Essential Functions

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    • Pre-sales support
    • Business development 
    • Whitepaper, blog and other relevant content
    • Build and optimize delivery system, documentation, templates, methodology, and process
    • Client-facing billable work 50% at minimum

    Required Education and Experience

    1. Current CPA certification.
    2. Bachelor’s degree in business or related field is required. 
    3. Experience in IT audit and SOC 2 at a CPA firm providing SOC 2 services required.
    4. 8 ~ 10 years of experience with SOC 2 audit.
    5. Business development and sales skills. 
    6. Excellent time management skills.
    7. Ability to organize and prioritize daily business development activity.
    8. Ability to sell and develop relationships across all industries to a diverse clientele.
    9. Experienced in preparing written proposals and presentations.
    10. Proven success in negotiating agreements and closing deals.
    11. Demonstrated leadership ability in a fast-paced and dynamic environment. 
    12. Extremely organized with proven ability to independently manage multiple projects.
    13. Proven ability to maintain confidentiality, diplomacy and professionalism around sensitive topics.
    14. Proficient in SOC 2 compliance tool and methodology
    15. Proficient in Google Suite
    16. Proficient in Salesforce
       

    Position Type/Expected Hours of Work

    This is a full-time position, and regular hours of work and days are Monday through Friday, 8:00 a.m. to 5 p.m.; however, this position can regularly require long hours and frequent weekend work.

    Travel

    Travel is primarily out-of-the-area and overnight travel may be expected. Travel amount <25%

     

    Additional Eligibility Qualifications

    Must have an active driver’s license.

    Work Authorization/Security Clearance (if applicable)

    Must be authorized to work in the United States. Each candidate is required to comply with federal and local laws and authorization will be checked through E-verify. 

    AAP/EEO Statement

    RSI Security prohibits discrimination or harassment based on the following categories:  race, color, religion, religious creed (including religious dress and grooming practices), national origin, ancestry, citizenship, physical or mental disability,  medical condition (including cancer and genetic characteristics), genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status, protected medical leaves (requesting or approved for leave under the Family and Medical Leave Act or the California Family Rights Act), domestic violence victim status, political affiliation, and any other status protected by state or federal law.

    Other Duties

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.



  • 14 Days Ago

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Claims Quality Auditor
  • Physicians Data Trust
  • Vista, CA FULL_TIME
  • Claims Quality Auditor Department: Claims Effective Date: July 20, 2023 Reports to: Claims Adjudication Supervisor Direct Reports: None FLSA: Non-exempt Working Conditions: Normal, no adverse or hazar...
  • 9 Days Ago

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Director of Quality
  • Pioneers Memorial Healthcare District / PMHD
  • Brawley, CA FULL_TIME
  • Responsible for developing, implementing and monitoring a quality review program including quality improvement and outcome management. Infection Control, Risk Management, and Patient Safety service de...
  • 15 Days Ago

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Director of Quality
  • Pioneers Memorial Healthcare District / PMHD
  • Brawley, CA FULL_TIME
  • Responsible for developing, implementing and monitoring a quality review program including quality improvement and outcome management. Infection Control, Risk Management, and Patient Safety service de...
  • 15 Days Ago

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Workers Compensation Claims Examiner | Must Reside in California
  • Sedgwick Claims Management Services Inc.
  • San Diego, CA FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
  • 22 Days Ago

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Director, Corporate Audit- San Diego based
  • Neurocrine Biosciences
  • San Diego, CA FULL_TIME
  • Who We Are:At Neurocrine Biosciences, we pride ourselves on having a strong, inclusive, and positive culture based on our shared purpose and values. We know what it takes to be great, and we are as pa...
  • 1 Month Ago

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0 Claims Quality Audit Director jobs found in Oceanside, CA area

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Quality Assurance Inspector (Tank Cleaning/ Flushing)
  • South Bay Sand Blasting & Tank Cleaning
  • National City, CA
  • Job Description SOUTH BAY SANDBLASTING & TANK CLEANING, INC. located in San Diego, CA shipyard related subcontractor loo...
  • 4/24/2024 12:00:00 AM

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Quality Assurance Associate, Analytical
  • Catalent Pharma Solutions
  • San Diego, CA
  • **Job Title:** Quality Assurance Associate, Analytical **City:** San Diego **State** : CA **JOB DESCRIPTION** : + Review...
  • 4/24/2024 12:00:00 AM

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Assembler II - Landsberg Orora San Diego
  • Orora
  • San Marcos, CA
  • Landsberg Orora started in 1947, with the philosophy that everything begins and ends with the customer. Today, with loca...
  • 4/24/2024 12:00:00 AM

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Quality Inspector I
  • Hunter
  • San Marcos, CA
  • About This Role: The Quality Inspector I utilizes Quality Plans and Work Instructions to perform mechanical inspection a...
  • 4/24/2024 12:00:00 AM

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Quality Inspector I (2nd Shift)
  • Hunter
  • San Marcos, CA
  • About This Role: The Quality Inspector I utilizes Quality Plans and Work Instructions to perform mechanical inspection a...
  • 4/24/2024 12:00:00 AM

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Equipment Validation Specialist (non-software)
  • Portal Insulin LLC
  • Carlsbad, CA
  • Company Background Portal Insulin LLC (Portal) is a pre-clinical company developing an insulin formulation for use in tr...
  • 4/23/2024 12:00:00 AM

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Senior Director of Quality, Pt Safety & Analytics - 122864
  • University of California System
  • La Jolla, CA
  • Payroll Title: QLTY IMPV HC MGR 2 Department: Quality & Patient Safety Hiring Pay Scale $175,000 - $230,000 / Year Works...
  • 4/23/2024 12:00:00 AM

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Director, Quality Assurance (Enterprise Solutions- D365)
  • Vuori Clothing
  • Carlsbad, CA
  • Company Description Vuori is re-defining what athletic apparel looks like: built to move and sweat in but designed with ...
  • 4/23/2024 12:00:00 AM

Oceanside is a coastal city located on California's South Coast. It is the third-largest city in San Diego County, California. The city had a population of 167,086 at the 2010 census. Together with Carlsbad and Vista, it forms a tri-city area. Oceanside is located just south of Marine Corps Base Camp Pendleton. Oceanside is at 33°12′42″N 117°19′33″W / 33.21167°N 117.32583°W / 33.21167; -117.32583 (33.211566, -117.325701). According to the United States Census Bureau, the city has a total area of 42.2 square miles (109 km2), of which 41.2 square miles (107 km2) is land and 0.9 square miles ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$162,976 to $232,915
Oceanside, California area prices
were up 2.6% 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