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)
At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
The Claims Manager works independently to oversee the resolution or strategy assigned HPL and PPL Liability claims.
Minimum Qualifications:
Facility: BayCare Health System, Risk Mgmt-Claims Mgmt-BCHS
Location: BayCare System Office West
Status: Full Time, Exempt: Yes
Shift Hours: 0800 - 04:30
Shift: Shift 1
Shift 1 = Days, 2 = Evenings, 3 = Nights, 4 = Varies
Weekend Work: None
On Call:
Does this position fall under CMS guidelines for COVID19 vaccine or exemption?: No - CMS Requirements Do Not Apply
How often will this team member be working remotely? Always
Equal Opportunity Employer Veterans/Disabled
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0 Claims Quality Audit Manager jobs found in Clearwater, FL area