Claims Quality Audit Director jobs in Scranton, PA

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 Quality & Incident Management
  • St. Joseph's Center
  • Scranton, PA FULL_TIME
  • St. Joseph's Center, a provider of compassionate care and support to individuals with intellectual disabilities, is looking for a leader who is passionate about quality care to fill the role of Director of Quality and Incident Management. This role will plan, develop and direct a program to manage all aspects of quality management including risk mitigation and process improvement. We are looking for a dynamic and enthusiastic leader who can inspire a culture of excellence in care and support to those who need it most.

    The Director of Quality and Incident Management is a full-time senior level management position based at St. Joseph's Center administrative headquarters in Scranton, PA.  This is a salaried position with healthcare benefits, paid time off, retirement plan, and other additional benefits. 

    Why You'll Love St. Joseph's Center 

    You will get to work in a collaborative, supportive work environment within a non-profit mission driven organization. You will be part of a team that strives to make meaningful impact on the lives of individuals with intellectual disabilities while improving the quality of life for the community in which we live and work.  St. Joseph's Center has over 130 years of experience in caring for people with disabilities and we are on a mission to provide the highest standard of care and support.

    What You Get  

    • Heath
      • Medical, Dental, and Vision Insurance
      • Access to 24 hour No Cost Telehealth (SwiftMD) for employee and dependents
      • Company paid Short Term Disability and Life Insurance
      • Healthcare Flexible Spending Account
    • Work / Life Balance
      • Paid time off
      • Paid holidays
    • Growth and Support
      • 401-K with company contribution and match
      • Employee referral bonus
      • Tuition Reimburse
      • Employee Assistance Program: Counseling services, Legal and Financial services, Child/Elder care resources, and more
      • Discount Programs with national and local companies
      • Paid training

    What You'll Do 

    • Manage and implement quality assurance and compliance programs and initiatives
    • Work in conjunction with Program Directors in setting quality measures for service areas, establishing goals and managing implementation of quality management process
    • Ensures compliance with Incident Management by assigning Certified Investigators, providing technical assistance throughout process, generating reports and developing proactive process improvement strategies
    • Conduct mock surveys and environmental rounds
    • Educate, train, and mentor a dedicated team of nurses and other health professionals
    • Oversee compliance with regulatory standards and incident management
    • Ensure adherence to best practices and drive continuous improvement
    • Coordinates frequent Program Evaluation

    What’s Required of You 

    • Previous quality management experience with a passion for upholding high-quality standards.
    • Innovative problem solving, leadership, and communication skills
    • Ability to earn and maintain certifications as ODP Certified Investigator and ODP Quality Management
    • Knowledge and experience in intellectual and developmental disability care
    • Valid PA Driver’s License
    • Ability to work harmoniously with other employees and various constituents
    • Commitment to continuous learning

     

    If you are ready to be part of a team that values empathy, respect, and the well-being of every individual then partner with us today!

    Non-Discrimination Policy

    St. Joseph’s Center is an equal opportunity employer and provider of services and referrals to clients without regard to race, color, religious creed, disability, ancestry, national origin, age, gender, sexual orientation or limited English proficiency

  • 5 Days Ago

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Director of Quality & Incident Management
  • St. Joseph's Center
  • Scranton, PA FULL_TIME
  • St. Joseph's Center, a provider of compassionate care and support to individuals with intellectual disabilities, is looking for a leader who is passionate about quality care to fill the role of Direct...
  • 5 Days Ago

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Field Technician
  • Hancock Claims Consultants
  • Scranton, PA CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 12 Days Ago

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First Shift Quality Control
  • Quality Packaging
  • Tunkhannock, PA FULL_TIME
  • About us Quality Packaging Industries is a customized packaging facility in Jackson, MO. We are fast paced, customer centric, and our goal is to create quality product while working safely and efficie...
  • 13 Days Ago

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First Shift Quality Control
  • Quality Packaging
  • Tunkhannock, PA FULL_TIME
  • About us Quality Packaging Industries is a customized packaging facility in Jackson, MO. We are fast paced, customer centric, and our goal is to create quality product while working safely and efficie...
  • 13 Days Ago

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Company truck driver
  • Quality Carriers
  • Muncy, PA FULL_TIME
  • Requirements : Valid CDL-A With Tankers and Hazmat Endorsements Must Have or Be Willing to Obtain TWIC Card 1 Year Tractor Trailer Experience Within the Last 3 Years or 1 Year Tanker Experience in the...
  • Just Posted

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0 Claims Quality Audit Director jobs found in Scranton, PA area

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Shift Leader
  • FIS Recruitment
  • Pittston, PA
  • Job Description Job Description A Shift Leader is a professional in charge of providing direct supervision and ensuring ...
  • 4/23/2024 12:00:00 AM

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Field Operations Supervisor
  • American Water
  • Scranton, PA
  • *Share Our Purpose. Be Yourself. Feel Valued.* People are the heart of our business. As an American Water employee, you ...
  • 4/23/2024 12:00:00 AM

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VP, Population Health and Practice Transformation
  • The Wright Center Medical Group
  • Scranton, PA
  • Job Type Full-time Description POSITION SUMMARY In partnership with the Chief Medical & Information Officer (CMIO), serv...
  • 4/23/2024 12:00:00 AM

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Quality Assurance Supervisor
  • Northern Pelagic Group, LLC (NORPEL)
  • Hazleton, PA
  • Quality Assurance Lead NORPEL, also known as the Northern Pelagic Group, LLC, is a prominent producer of pet food ingred...
  • 4/22/2024 12:00:00 AM

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Production Worker - Garments
  • Dempsey Uniform & Linen Supply
  • Jessup, PA
  • Join Dempsey Uniform, a leading provider of high-quality uniforms and textile services. With our commitment to excellenc...
  • 4/22/2024 12:00:00 AM

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Quality Assurance Supervisor
  • Northern Pelagic Group Llc (norpel)
  • Hazleton, PA
  • Quality Assurance LeadNORPEL, also known as the Northern Pelagic Group, LLC, is a prominent producer of pet food ingredi...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examination Analyst - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Scranton, PA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Assistant Plant Manager - Wilkes Barre, PA
  • Goodyear
  • Wilkes Barre, PA
  • Goodyear. More Driven. IMMEDIATELY HIRING!!! - APPLY TODAY!!! We are a service and retreading market leader with over 20...
  • 4/21/2024 12:00:00 AM

Scranton is the sixth-largest city in the Commonwealth of Pennsylvania. It is the county seat and largest city of Lackawanna County in Northeastern Pennsylvania's Wyoming Valley and hosts a federal court building for the United States District Court for the Middle District of Pennsylvania. With a population of 77,291, it is the largest city in the Scranton–Wilkes-Barre–Hazleton, PA Metropolitan Statistical Area, which has a population of about 570,000. The city is conventionally divided into 7 districts: North Scranton, Southside, Westside, East Scranton (Hill Section), Central City, Minooka, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$143,419 to $204,966
Scranton, Pennsylvania area prices
were up 1.5% 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