Claims Quality Audit Manager jobs in Chico, CA

Claims Quality Audit Manager manages the claims quality auditors and daily activities of quality claims audit function. Reviews and tracks claims quality audit reports and measures performance of auditors. Being a Claims Quality Audit Manager provides assistance in developing claims audit policies and procedures. May provide coaching in complex claims audit. Additionally, Claims Quality Audit Manager typically requires a bachelor's degree. Typically reports to a director or head of a department. The Claims Quality Audit Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Quality Audit Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Quality Assurance Manager (FT)
  • SAMUELSTAFFING.COM
  • Eureka, CA FULL_TIME
  • We are seeking a dedicated individual to join us as a Quality Assurance Manager in Eureka, CA.

    Unleash your potential in a full-time role that not only allows for professional growth but also embraces the unique charm of Eureka's coastal beauty.

    Responsibilities:
    • Demonstrates respect for and promotes participant rights including dignity, self-determination, access to care, confidentiality, and independence.
    • Maintains confidentiality of all records and information.
    • Serves as a liaison among individual program disciplines, contracted hospitals, and community service providers on issues related to quality of care.
    • Coordinates with members of the Interdisciplinary Team (IDT) regarding quality of care and service delivery.
    • Develops and monitors policies and procedures for quality oversight of contract services and provides related documents and information to contractors.
    • Oversees the annual QIP update.
    • Produces and interprets reports used in the QIP which may include reviews of medical records utilizing approved criteria.
    • Coordinates quality assurance activities related to new enrollees as well as voluntary and involuntary dis-enrollment.
    • Conducts focused and ad hoc quality studies and analysis shows.
    • Participates in orientation with employees and contractors to ensure effective coordination of participant care.
    • Other duties as assigned.

    Qualifications & Licensure:
    • Bachelor’s degree required, preferably in Nursing, Healthcare Administration, or another relevant field.
    • Two (2) years of experience working in quality assessment and performance improvement required, including professional experience administrating, aggregating, and analyzing data and survey results.
    • At least one (1) year of experience working with a frail or elderly population is preferred.
    • Two (2) years of health care experience preferred.
    • Valid California Driver’s License and personal auto liability insurance required. Must have a personal vehicle in good driving/operating condition.
    • Current CPR and First Aid certification within six (6) months of hire.

    If you feel that this position may be a good fit for you, apply with your resume and I will reach out to discuss the opportunity with you further!

    Thank you,
    Griffin Miecznikowski | Senior Recruiter
    gmiecznikowski@samuelstaffing.com
  • 1 Day Ago

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Quality Assurance/Improvement Manager
  • Home & Health Care Management
  • Chico, CA FULL_TIME
  • Introduction to the Company Home & Health Care Management is the oldest home health care agency in Northern California. Our agency specializes in delivering comprehensive in-home care and case managem...
  • 5 Days Ago

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Quality Improvement Manager
  • Redding Rancheria
  • Redding, CA FULL_TIME
  • ***This position is open through Friday, April 26***The Redding Rancheria is seeking a [Quality Improvement Manager].JOB SUMMARY: Under the direction of the Director of Informatics the Quality Improve...
  • 7 Days Ago

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Claims Processor
  • Partnered Staffing - Kelly Services
  • Redding, CA FULL_TIME
  • Company DescriptionKelly Services Currently seeking a HR Coordinator / Executive Assistant in Wilmington, DE for one of our top Life Science clients for a 6 month contract role. Kelly is a full servic...
  • 1 Month Ago

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RN - Labor and Delivery
  • Quality Clinicians
  • Eureka, CA FULL_TIME
  • RN - Labor and Delivery We're looking for RNs for an immediate travel nurse opening. The right RN should have 2 years or more of recent experience. As a Travel Nurse, you should be prepared to perform...
  • Just Posted

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LVN/LPN LPN / LVN Quincy, CA
  • Quality Clinicians
  • Quincy, CA FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $729-$1729/week Multiple shift openings Job Description/Responsibilities:...
  • 1 Day Ago

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0 Claims Quality Audit Manager jobs found in Chico, CA area

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Event and Program Manager
  • ASSOCIATED STUDENTS OF CALIFORNIA STATE UNIVERSITY CHICO
  • Chico, CA
  • Description The Associated Students of CSU, Chico is recruiting for Event and Program Manager. This is a full-time, full...
  • 4/26/2024 12:00:00 AM

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Bakery Associate
  • Walmart
  • Chico, CA
  • **Job Title: Bakery Associate** **Job Summary:** As a Bakery Associate at Walmart, you play a vital role in providing cu...
  • 4/26/2024 12:00:00 AM

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Retail Team Member
  • GOODWILL INDUSTRIES SACRAMENTO VALLEY & NORTHERN NEVADA INC
  • Chico, CA
  • Job Details Level Entry Job Location Chico - Chico, CA Position Type Full-Time/Part-Time Salary Range $17.00 Hourly Job ...
  • 4/24/2024 12:00:00 AM

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Picker / Packer
  • Walmart
  • Chico, CA
  • **Job Title: Picker/Packer** **Job Summary:** As a Picker/Packer at Walmart, you will play a critical role in the fulfil...
  • 4/24/2024 12:00:00 AM

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Forklift Operator
  • Walmart
  • Chico, CA
  • **Job Summary:** As a Forklift Operator at Walmart, you will be responsible for safely and efficiently operating forklif...
  • 4/24/2024 12:00:00 AM

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Inventory and Production Reporting Specialist
  • Graphic Packaging International Inc.
  • Oroville, CA
  • Inventory and Production Reporting Specialist Tracking Code 13535-159 Job Description The Inventory and Production Repor...
  • 4/22/2024 12:00:00 AM

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Line Cook
  • Logan's Roadhouse
  • Chico, CA
  • Primary Responsibilities: Completes all assigned prep work and sets up cook's station. Maintains product presentations, ...
  • 4/22/2024 12:00:00 AM

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Retail Store Associate
  • Amain Com Inc
  • Chico, CA
  • Summary: As a Retail Associate of Amain.com, you will foster business relationships with loyal hobbyists from all over t...
  • 4/22/2024 12:00:00 AM

Chico is the most populous city in Butte County, California, United States. As of the 2010 United States Census, the population was 86,187, reflecting an increase of 26,233 from the 59,954 counted in the 2000 Census. The city is the cultural, economic, and educational center of the northern Sacramento Valley and home to both California State University, Chico and Bidwell Park, the country's 26th largest municipal park and the 13th largest municipally-owned park. Bidwell Park makes up over 17% of the city. Other cities in close proximity to the Chico Metropolitan Area (population 212,000) incl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Manager jobs
$99,669 to $133,900
Chico, California area prices
were up 2.5% from a year ago

Claims Quality Audit Manager in Canton, OH
On average, a Bachelor's Degree is the highest level of education for a Claims Quality Audit Manager.
January 04, 2020
Claims Quality Audit Manager in Kennewick, WA
Based on our compensation data, the estimated salary potential for Claims Quality Audit Manager will increase 16 % over 5 years.
January 17, 2020