Claims Quality Audit Director jobs in Tucson, AZ
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)
Recently Added Claims Quality Audit Director jobs
- US Defense Contract Audit Agency
-
Tucson, AZ
FULL_TIME
-
Duties
- Serves as a Data Analytics (DA) Computer/Quantitative Methods (QM)/Assisted Audit Techniques (CAATs) Technical Specialist at a Regional or Corporate Audit Directorate (CAD) Office providing technical assistance/guidance to auditors and management.
- Uses a variety of professional accounting, DA/QM/CAATs, and other auditing techniques to brainstorm audit approaches with FAOs to prepare computer analysis, statistical analysis, data analysis and questionnaires tailored to specific risk.
- Provides technical assistance to auditors in the application of electronic audit tools and techniques to perform contract audits using automated accounting and financial systems.
- Assists auditors to identify audit risks, analyze databases, and in reviewing contractor's operating system controls to determine reliance on the contractor's systems.
- Develops and provides training, techniques and assistance to auditors related to use of DA/QM/CAATs; serves as liaison between the field and headquarters to ensure that training reflects current technical support for DA/QM/CAATs application areas.
- Applies appropriate laws and regulations and develops specific and unique review plans to correspond to Agency operating programs and/or control systems.
Requirements
Conditions of Employment
- Must be a U.S. Citizen as verified through E-Verify Program.
- Drug Testing: This is a drug testing designated position. You must pass a drug test before your assignment to this position and you will be subject to random drug testing subsequent to your assignment.
Qualifications
All qualification and time-in-grade (if applicable) requirements must be met within 30 days of the closing date of this announcement.
You must meet the minimum qualification requirements as stated in the Office of Personnel Management (OPM) Operating Manual, Qualification Standards for General Schedule Positions, http://www.opm.gov/qualifications/Standards/group-stds/gs-prof.asp.
Basic Requirements:
Degree: accounting or a related field (such as business administration, finance, or public administration) that included or was supplemented by 24 semester hours (or 36 quarter hours) in accounting (may include up to 6 hours of business law).
OR
Combination of education and experience: 4 years of accounting experience or a combination of accounting experience, college-level education, and training that provided professional accounting knowledge AND 24 semester hours (or 36 quarter hours) in accounting/auditing courses or a certificate as Certified Public Accountant or a Certified Internal Auditor.
Specialized Experience: In addition to meeting the basic requirements, you must have one year of specialized experience at the GS-12 or equivalent level. Specialized experience must be documented in your resume. Specialized experience is defined as: detailed testing and examining accounting systems and records, cost representations, internal controls, management policies and practices, to assure compliance with accounting and auditing principles, standards and regulations.
Volunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Background Investigation: All selectees will be subject to a personnel security investigation which must be favorably adjudicated for occupancy of a sensitive position and/or access to classified information. If you are selected for a critical/special sensitive position, you will be subject to a Single Scope Background Investigation (SSBI). For a critical sensitive position, you must be able to obtain and maintain security clearance eligibility at the Top Secret level. For a special sensitive position, you must be able to obtain and maintain security clearance eligibility at the Top Secret/Sensitive Compartmented Information (TS/SCI) level AND you will be subject to a random counterintelligence scope polygraph.Education
Substitution of Education for Specialized Experience: There is no substitution of education for experience at this grade level.
Official Transcripts: If the position you are applying for has a positive degree requirement or education forms the basis for qualifications (i.e. you would not qualify without the education obtained), you MUST submit transcripts with your application.- Official transcripts are not required at the time of application outside of what is outlined above; however, official transcripts must be verified PRIOR to appointment.
- An accrediting institution recognized by the U.S. Department of Education must accredit education. Click here to check accreditation.
- FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in a conventional U.S. education program. It is your responsibility to provide such evidence when applying or prior to appointment as outlined above.
- Qualifying education from colleges and universities in foreign countries must be evaluated in terms of equivalency to that acquired in U.S. colleges and universities. Applicants educated in whole or in part in foreign countries must submit sufficient evidence, including transcripts, to an accredited private organization for an equivalency evaluation of course work and degree. You must provide a copy of the letter containing the results of the equivalency evaluation upon request. Failure to provide such documentation when requested will result in lost consideration.
Additional information
- DCAA has a comprehensive benefits package that includes retirement, social security and thrift savings; health, life and long term care insurance; paid vacation, sick leave and holidays. DCAA employees enjoy our business-casual dress code, flexible work schedules, transit subsidies, and the opportunity to telecommute.
- This position is covered by a bargaining unit.
- This position is Exempt from the Fair Labor Standards Act.
- A recruitment or relocation incentive may be authorized for this vacancy based on agency staffing needs and budgetary availability. The incentive will require a signed service agreement, as well as satisfactory performance and conduct. The service agreement will detail conditions of receipt and acceptance of the incentive, and will be provided after entrance on duty. This monetary incentive will be disbursed within several pay periods after entrance on duty.
- Relocation expenses will be offered based on agency staffing needs and budgetary availability.
- Additional Vacancies: This announcement may be used to fill additional positions within 90 days of the closing date.
- Probationary Period: A one year probationary period may be required.
- Financial Management (FM) Certification Program: As a condition of employment, the selectee must meet the requirements of the DoD FM Certification Program. The FM Certification Program is a course based program consisting of three certification levels. Level 2 certification must normally be completed within two years of the selectee's employment start date.
- Defense Acquisition Workforce Improvement Act (DAWIA) Certification Program: As a condition of employment, the selectee must meet the requirements of the DAWIA Certification Program. The selectee must obtain the required certification within the specified grace period for their applicable certification level, except that designated Key Leadership Positions at the GS-14/15 levels require certification completion at the time of assignment.
- Interagency Career Transition Assistance Program (ICTAP) Priority Consideration: If you are a displaced Federal Civil Service employee and attain a rating of at least 90, you may be entitled to receive special priority selection under the ICTAP. . For more information on ICTAP, click here ICTAP Guidance NOTE: If you have never worked for the Federal Government, you are NOT ICTAP eligible.
- Military Spouse Preference (MSP): You may be eligible for MSP, if you are the spouse of an active duty military member and you are ranked among the best qualified for this vacancy.
- Reemployed Annuitant: does not meet the criteria. This vacancy does not meet the criteria identified in DoDI 1400.25 VOLUME 300, Section 3 for the appointment of annuitants. Veterans preference eligibles receive consideration regardless of their annuitant status.
- Financial Disclosure: Completion of an Office of Government Ethics (OGE) confidential financial disclosure form 450 is required for this position.
- Telework availability will be based upon the mission requirements and supervisory determination.
- All applicants are encouraged to apply electronically. If you are unable to apply on-line, you may contact 317-212-0454 for assistance.
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
Your application will initially be reviewed to determine whether you meet the minimum eligibility and qualifications requirements. If you are qualified, you will then receive a rating based on the degree to which your background matches the knowledge, skills and abilities for the position listed below. If a determination is made that you have inflated your qualifications, you will be assigned a rating commensurate with your background. Your application will be placed in one of three categories:
- Best Qualified: Meets the minimum qualification requirements and demonstrates experience as an expert in the field or is recognized as a senior specialist, team lead, etc.
- Highly Qualified: Meets the minimum qualification requirements and demonstrates full-performance level experience.
- Qualified: Meets the minimum qualifications and demonstrates minimum experience and/or training only.
Within these categories, applicants eligible for veteran's preference will receive selection priority over non-veterans.
Competencies:
- Concepts, Policies and Principles of Audit
- Fundamentals and Operations of Audit
- Teamwork
- Technical Competence
You can preview the Assessment Questionnaire here: https://apply.usastaffing.gov/ViewQuestionnaire/12376330Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required Documents
As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.
1. Resume: HR will review the resume that the system date stamps as the most recent. For assistance in preparing your resume, visit DFAS Resume Tools.
2. Complete Assessment Questionnaire: Your resume must describe the scope of work with regard to your responses to the occupational self-assessment questionnaire, as they generate your numerical rating.
The following supporting documents are ONLY required if applicable to your personal qualifications or status.
1. Transcripts/Certifications: All applicants to include current agency employees/contractors, must submit proof of education if the position requires education to meet the basic qualification requirements, or if substituting education to meet specialized experience requirements. For additional information on acceptable documents, visit Transcripts and Certifications. Applicants must also document education and/or certifications in their resume.
2. Cover Letter: You may submit a cover letter which will be forwarded to the selecting official if referred. Cover letters will not be used to verify qualifications or determine eligibility.
3. Veterans Preference: If you are claiming veteran's preference, you MUST submit the appropriate documentation. Failure to do so will result in the loss of veteran's preference, and may impact your eligibility for referral.. For more veterans' information please click here.- You must submit a copy of your DD-214, Certificate of Release or Discharge from Active Duty", showing the dates of active duty service, type of discharge and the character of service. Alternatively, If you are a current military member in active duty service and do not have a copy of your DD-214, you must submit a written documentation (certification) from your branch of service certifying that you are expected to be discharged or released from active duty under honorable conditions no later than 120 days after the date of application. The certification must include your rank, dates of active duty service and the expected condition of discharge.
- If claiming 10-point preference and/or are a 30% or more Disabled Veteran, you must submit both a DD-214 or expected discharge documentation as described above AND a copy of a letter from the Department of Veterans Affairs (VA) or your branch of service certifying the presence of service-connected disability and indicating the percentage of disability
- If you are claiming eligibility based on 10-point derived veterans' preference (i.e. a spouse, widow/widower, or parent of a veteran claiming veterans' preference when the veteran is unable to use it), you must also submit a Standard Form 15 (SF-15) "Application for 10-Point Veteran's Preference" and any required documents indicated on the SF-15 to substantiate the claimed preference.
4. ICTAP Eligibles: A copy of the RIF separation notice and SF-50,
5. Military Spouse Preference (MSP) Eligible: Military Spouse Preference applicants, must be selected and placed at the highest grade level for which they have applied and been determined best qualified up to and including the full performance level. You must include a completed copy of the Military Spouse PPP Self-Certification Checklist dated within 30 days along with the documents identified on the checklist to verify your eligibility for Military Spouse Preference. Click here to obtain a copy of the Military Spouse PPP Self-Certification Checklist.
6. Military Reserve (MR) and National Guard (NG) Technicians PPP Eligible: MR and NG technicians PPP applicants must be selected and placed at the full performance level if determined well qualified. You must include a completed copy of the Military Reserve and National Guard Technician PPP Self-Certification Checklist to verify your eligibility for Military Reserve and National Guard Technician preference. Click here to obtain a copy of the Military Reserve and National Guard Technician PPP Self-Certification Checklist.
7. Military Reserve (MR) and National Guard (NG) Technicians Receiving Disability Retirement PPP Eligible: MR and NG technicians receiving disability retirement PPP applicants must be selected and placed at the full performance level if determined well qualified. You must include a completed copy of the Military Reserve and National Guard Technician Disability PPP Self-Certification Checklist to verify your eligibility for Military Reserve and National Guard Technician Disability preference. Click here to obtain a copy of the Military Reserve and National Guard Technician Disability PPP Self-Certification Checklist.
8. Retained Grade PPP Eligible: Retained Grade PPP applicants, must be selected and placed at the full performance level if determined well qualified. You must include a completed copy of the Retained Grade PPP Self-Certification Checklist to verify your eligibility for Retained Grade preference. Click here to obtain a copy of the Retained Grade PPP Self-Certification Checklist.If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
How to Apply
Click 'Apply Online' to create an account or log in to your existing USAJOBS account.
- Follow the prompts to complete the assessment questionnaire and upload required documents.
- Please ensure you click the Submit My Answers button to submit your application.
- Check application status by logging into your USAJOBS account, clicking Application Status, then More Information for this position. Return to an incomplete application by logging into your USAJOBS account and clicking Update Application in the vacancy announcement. You must re-select your resume and other documents from your USAJOBS account or your application will be incomplete.
Agency contact information
HR Customer Care Center
Phone
(317) 212-0454
Email
dfas.indianapolis-in.zh.mbx.dfasmeritcc@mail.mil
Address
DCAA - GDRT CAD
8725 John J. Kingman Rd.
Ft. Belvoir, VA 22060
USNext steps
The occupational questionnaire and the resume that you submit will be used to assess your qualifications for the job, and to identify the best qualified applicants to be referred to the hiring manager for further consideration and possible interviews. We will notify you of the outcome after each of these steps has been completed. After making a tentative job offer, we will conduct a suitability/security background investigation.
Application of Veterans Preference: The Category Rating Method does not add veterans' preference points or apply the "rule of three," but protects the rights of veterans by placing them ahead of non-preference eligibles within each category. Preference eligible's who meet minimum qualification requirements and who have a compensable service-connected disability of at least 10 percent must be listed in the highest quality category, except when the position being filled is scientific or professional at the GS-9 grade level or higher. A selecting official may make selections from the highest quality category (Best Qualified) provided no preference eligible in that category is passed over to select a non-preference eligible in that category unless the requirements of 5 U.S.C. 3317(b) or 3318(b) are satisfied.
All information included in the resume and Occupational Questionnaire is subject to review and verification. HR will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. Applicants meeting the minimum requirements will be further evaluated by information provided in the Occupational Questionnaire. If, after reviewing your resume and/or supporting documentation, a determination is made that you have misrepresented your qualifications and/or experience, you may lose consideration for this position and, if you're already an employee, you may be subject to disciplinary action up to and including removal from Federal service.Fair and Transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
- Equal Employment Opportunity (EEO) Policy
- Reasonable accommodation policy
- Financial suitability
- Selective Service
- New employee probationary period
- Signature and false statements
- Privacy Act
- Social security number request
Required Documents
1. Resume: HR will review the resume that the system date stamps as the most recent. For assistance in preparing your resume, visit DFAS Resume Tools.
2. Complete Assessment Questionnaire: Your resume must describe the scope of work with regard to your responses to the occupational self-assessment questionnaire, as they generate your numerical rating.
The following supporting documents are ONLY required if applicable to your personal qualifications or status.
1. Transcripts/Certifications: All applicants to include current agency employees/contractors, must submit proof of education if the position requires education to meet the basic qualification requirements, or if substituting education to meet specialized experience requirements. For additional information on acceptable documents, visit Transcripts and Certifications. Applicants must also document education and/or certifications in their resume.
2. Cover Letter: You may submit a cover letter which will be forwarded to the selecting official if referred. Cover letters will not be used to verify qualifications or determine eligibility.
3. Veterans Preference: If you are claiming veteran's preference, you MUST submit the appropriate documentation. Failure to do so will result in the loss of veteran's preference, and may impact your eligibility for referral.. For more veterans' information please click here.- You must submit a copy of your DD-214, Certificate of Release or Discharge from Active Duty", showing the dates of active duty service, type of discharge and the character of service. Alternatively, If you are a current military member in active duty service and do not have a copy of your DD-214, you must submit a written documentation (certification) from your branch of service certifying that you are expected to be discharged or released from active duty under honorable conditions no later than 120 days after the date of application. The certification must include your rank, dates of active duty service and the expected condition of discharge.
- If claiming 10-point preference and/or are a 30% or more Disabled Veteran, you must submit both a DD-214 or expected discharge documentation as described above AND a copy of a letter from the Department of Veterans Affairs (VA) or your branch of service certifying the presence of service-connected disability and indicating the percentage of disability
- If you are claiming eligibility based on 10-point derived veterans' preference (i.e. a spouse, widow/widower, or parent of a veteran claiming veterans' preference when the veteran is unable to use it), you must also submit a Standard Form 15 (SF-15) "Application for 10-Point Veteran's Preference" and any required documents indicated on the SF-15 to substantiate the claimed preference.
4. ICTAP Eligibles: A copy of the RIF separation notice and SF-50,
5. Military Spouse Preference (MSP) Eligible: Military Spouse Preference applicants, must be selected and placed at the highest grade level for which they have applied and been determined best qualified up to and including the full performance level. You must include a completed copy of the Military Spouse PPP Self-Certification Checklist dated within 30 days along with the documents identified on the checklist to verify your eligibility for Military Spouse Preference. Click here to obtain a copy of the Military Spouse PPP Self-Certification Checklist.
6. Military Reserve (MR) and National Guard (NG) Technicians PPP Eligible: MR and NG technicians PPP applicants must be selected and placed at the full performance level if determined well qualified. You must include a completed copy of the Military Reserve and National Guard Technician PPP Self-Certification Checklist to verify your eligibility for Military Reserve and National Guard Technician preference. Click here to obtain a copy of the Military Reserve and National Guard Technician PPP Self-Certification Checklist.
7. Military Reserve (MR) and National Guard (NG) Technicians Receiving Disability Retirement PPP Eligible: MR and NG technicians receiving disability retirement PPP applicants must be selected and placed at the full performance level if determined well qualified. You must include a completed copy of the Military Reserve and National Guard Technician Disability PPP Self-Certification Checklist to verify your eligibility for Military Reserve and National Guard Technician Disability preference. Click here to obtain a copy of the Military Reserve and National Guard Technician Disability PPP Self-Certification Checklist.
8. Retained Grade PPP Eligible: Retained Grade PPP applicants, must be selected and placed at the full performance level if determined well qualified. You must include a completed copy of the Retained Grade PPP Self-Certification Checklist to verify your eligibility for Retained Grade preference. Click here to obtain a copy of the Retained Grade PPP Self-Certification Checklist.If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
HelpThis job is open to
The public
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Clarification from the agency
All US Citizens.
- 12 Days Ago
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