Claims Quality Audit Manager jobs in Clearwater, FL

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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Claims Manager
  • BayCare
  • Clearwater, FL FULL_TIME
  • 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:

    • Required experience with Bachelors: 5 years Malpractice Claims or 5 years Professional Liability Claims.
    • Required experience with Juris Doctorate: 2 years Insurance/Claims litigation.
    • Required Certification- Claims Adjuster - within 6 months


    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

  • 2 Days Ago

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General Manager
  • Quality Fresca I, LLC
  • Oldsmar, FL FULL_TIME
  • Summary: Responsible for leading and managing a restaurant with a sales volume of $650,000 to $2.5M. Responsible for the day to day leadership of people and financial management in order to achieve a ...
  • 19 Days Ago

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Assistant Manager
  • Quality Fresca I, LLC
  • Oldsmar, FL FULL_TIME
  • Summary: The Assistant Manager is responsible for managing the daily operations of the Moe’s Southwest Grill. Responsible for ensuring that the restaurant team creates quality food and providing quali...
  • 20 Days Ago

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General Manager
  • Quality Fresca I, LLC
  • Odessa, FL FULL_TIME
  • Summary: Responsible for leading and managing a restaurant with a sales volume of $650,000 to $2.5M. Responsible for the day to day leadership of people and financial management in order to achieve a ...
  • 10 Days Ago

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Assistant Manager
  • Quality Fresca I, LLC
  • Odessa, FL FULL_TIME
  • Summary: The Assistant Manager is responsible for managing the daily operations of the Moe’s Southwest Grill. Responsible for ensuring that the restaurant team creates quality food and providing quali...
  • 13 Days Ago

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Assistant Manager
  • Quality Fresca I, LLC
  • Clearwater, FL FULL_TIME
  • Summary: The Assistant Manager is responsible for managing the daily operations of the Moe’s Southwest Grill. Responsible for ensuring that the restaurant team creates quality food and providing quali...
  • 13 Days Ago

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0 Claims Quality Audit Manager jobs found in Clearwater, FL area

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Production Manager
  • Costa Custom Boats
  • Clearwater, FL
  • Company Description We suggest you enter details here. Role Description This is a full-time on-site role for a Productio...
  • 4/25/2024 12:00:00 AM

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Studio Production Manager
  • Bluewater Media
  • Clearwater, FL
  • Job Description Job Description The Production Manager is a pivotal role overseeing the efficiency and effectiveness of ...
  • 4/24/2024 12:00:00 AM

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Manufacturing Process Engineer
  • EEI Manufacturing Services
  • Clearwater, FL
  • Job Description Job Description JOB SUMMARY **(Salary negotiable) Responsible for developing, evaluating, and maintainin...
  • 4/24/2024 12:00:00 AM

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Production Manager
  • Costa Custom Boats
  • Clearwater, FL
  • Company Description We suggest you enter details here. Role Description This is a full-time on-site role for a Productio...
  • 4/23/2024 12:00:00 AM

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Production Manager - Manufacturing, Injection Molding & Extrusion, Life Sciences - Largo, FL
  • Saint-Gobain Performance Plastics
  • Largo, FL
  • If you want to reshape the world and discover your greatest potential, Saint-Gobain provides one-of-a-kind opportunities...
  • 4/22/2024 12:00:00 AM

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Production Manager
  • Tiara Furniture System LLC
  • Clearwater, FL
  • Job Description Job Description Job Summary: A high-end cabinetry company seeks motivated individuals with experience op...
  • 4/21/2024 12:00:00 AM

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Site Production Manager
  • Aramsco
  • Clearwater, FL
  • Aramsco is always looking for dynamic and energetic team players to join our family of companies! Aramsco, a family of c...
  • 4/21/2024 12:00:00 AM

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Quality Assurance Technician
  • Octapharma
  • Dunedin, FL
  • Want to Expand your career-development potential, your ability to help donors and patients, and your access to professio...
  • 4/21/2024 12:00:00 AM

Clearwater is a city located in Pinellas County, Florida, United States, northwest of Tampa and St. Petersburg. To the west of Clearwater lies the Gulf of Mexico and to the southeast lies Tampa Bay. As of the 2010 census, the city had a population of 107,685. Clearwater is the county seat of Pinellas County and is the smallest of the three principal cities in the Tampa-St. Petersburg-Clearwater metropolitan area, most commonly referred to as the Tampa Bay Area. Cleveland Street is one of the city's historic avenues, and the city includes Spectrum Field and Coachman Park. The city is separated ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Manager jobs
$91,162 to $122,471
Clearwater, Florida area prices
were up 1.1% from a year ago

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