Claims Quality Audit Director jobs in Tallahassee, FL

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 INTERNAL AUDIT, INTERNAL AUDIT
  • SGMC Health Careers
  • Valdosta, GA FULL_TIME
  • Description

    Location: SGMC Patient Financial Services
    Department: INTERNAL AUDIT
    Schedule: Full Time

    POSITION SUMMARY Manage and direct the Internal Audit function across the Health System, not limited to but including inpatient and outpatient services, and evaluate policies, procedures and systems to appraise and independently report on the system of internal controls. Oversee planning, execution and communication of financial/operational audits based on audit universe and identified risks. Elicit information from knowledgeable internal and/or external sources about areas and functions to determine appropriate audit direction/methodology. Research, stay informed and updated regarding new and revised legislative requirements, new audit regulations/trends and audit methodology. Communicate emerging issues to Internal Audit staff. Conduct special investigations in coordination with Senior Management and External Auditors in the area of fraud or misconduct, as necessary. Assist in the evaluation of new processes and systems that improve organization efficiency and effectiveness or enhance risk mitigation activities. Aid in due diligence for possible new operations or acquisitions. 

    KNOWLEDGE, SKILLS & ABILITIES Bachelor Degree in Accounting, Business or related field is required. Masters Degree or CIA/CPA preferred. Minimum 5 years experience in auditing or related field with an excellent working knowledge of internal audit program design and implementation. Ability to interact with all levels of management. Excellent written communication skills required.

    WORKING CONDITIONS- ADA INFORMATION

      High visibility position in a comfortable office setting. Substantial sitting and walking required. Must be able to lift 10 to 15 lbs. Manual dexterity required for use of a telephone, calculator and computer keyboard. Working under stress, occasional evening and/or weekend work required. Required sitting for long periods of time reviewing data, preparing reports.  

  • 22 Days Ago

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SIU Investigator
  • Claims Investigation Agency
  • Tallahassee, FL TEMPORARY,CONTRACTOR
  • Surveillance Investigators needed for South Florida. (TriCounty) Claims Investigation Agency, Inc. is a well-known and respected and continuously growing investigative company that has been in busines...
  • 22 Days Ago

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Customer service supervisor
  • TheBest Claims Solutions
  • Tallahassee, FL FULL_TIME
  • Our client is looking to add a Claims Customer Service Supervisor to their team. The ideal candidate will have supervisor experience in / with insurance claims and hold an active Florida adjusters lic...
  • 23 Days Ago

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Claims Assistant
  • Tech Army
  • Tallahassee, FL CONTRACTOR
  • Job Summary:This position entails providing customer service and support to the Claims Organization. Job Duties & Essential Functions: Demonstrates ethical behavior and carries out responsibilities in...
  • Just Posted

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Claims Administrator
  • SageSure
  • Tallahassee, FL FULL_TIME
  • Overview: SageSure is looking for a process-driven individual to drive consistency in our vendor payments, data collection and ability to support our partners and their needs for claims. This business...
  • 7 Days Ago

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INTERNAL AUDITOR, INTERNAL AUDIT
  • South Georgia Medical Center
  • Valdosta, GA FULL_TIME
  • Description Location: SGMC Patient Financial Services Department: INTERNAL AUDIT Schedule: Full Time, 8 HR Day Shift, 8a-5p POSITION SUMMARY Will perform financial, operational, and occasional complia...
  • 2 Days Ago

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0 Claims Quality Audit Director jobs found in Tallahassee, FL area

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Manufacturing Program Manager REMOTE
  • CBRE
  • Tallahassee, FL
  • Manufacturing Program Manager REMOTE Job ID 156979 Posted 29-Feb-2024 Service line GWS Segment Role type Full-time Areas...
  • 4/26/2024 12:00:00 AM

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Concessions Manager| Donald L Tucker Civic Center
  • AEG
  • Tallahassee, FL
  • In order to be considered for this role, after clicking "Apply Now" above and being redirected, you must fully complete ...
  • 4/26/2024 12:00:00 AM

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Electrician
  • General Dynamics Land Systems Inc.
  • Tallahassee, FL
  • General Dynamics Land Systems-Tallahassee Operations is looking for an experienced Electrician to join our team. This ro...
  • 4/25/2024 12:00:00 AM

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APRN (DNP) Open Rank Clinical Professor, 12 Months Salaried (Family Medicine & Rural Health)
  • Florida State University
  • Tallahassee, FL
  • Department College of Medicine, Family Medicine & Rural Health Responsibilities The Florida State University College of ...
  • 4/24/2024 12:00:00 AM

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PE/Administrative coordinator
  • Tallahassee Memorial Healthcare, Inc.
  • Tallahassee, FL
  • WHO WE ARE & WHAT WE DO Tallahassee Memorial HealthCare (TMH) is a private, nonprofit community-based healthcare system ...
  • 4/24/2024 12:00:00 AM

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Director, Program Management
  • Spruce Technology, Inc.
  • Tallahassee, FL
  • Primary Work: Lead Data & Analytics (D&A) strategy implementation for the Department to support D&A needs. Education: Ba...
  • 4/24/2024 12:00:00 AM

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Manager, Quality Assurance
  • Cardinal Health
  • Tallahassee, FL
  • **_What Quality Assurance contributes to Cardinal Health_** Quality develops and implements quality policies, procedures...
  • 4/23/2024 12:00:00 AM

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Oracle Services - Cloud SCM Manufacturing - Manager - Tech Consulting - Open Location
  • EY
  • Tallahassee, FL
  • EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these q...
  • 4/22/2024 12:00:00 AM

Tallahassee (/ˌtæləˈhæsi/) is the capital city of the U.S. state of Florida. It is the county seat and only incorporated municipality in Leon County. Tallahassee became the capital of Florida, then the Florida Territory, in 1824. In 2017, the population was 191,049, making it the 7th-largest city in the U.S state of Florida, and the 126th-largest city in the United States. The population of the Tallahassee metropolitan area was 382,627 as of 2017[update]. Tallahassee is the largest city in the Florida Panhandle region, and the main center for trade and agriculture in the Florida Big Bend and S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$136,597 to $195,216
Tallahassee, Florida 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