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)
1. This is a Tier 2 position. The salaries for positions found in the Tier 2 structure range from $180,359 - $213,000.
2. OPM Candidate Development Program (CDP) graduates and current Career SES members need only to address the technical qualifications and need not respond to the Executive Core Qualifications (ECQs).
3. You will be required to serve a one year probationary period unless you have previously completed the probationary period.
4. You will be paid by direct deposit to a financial organization.
5. Selectee will be required to file an annual financial disclosure statement, form OGE-278.
6. Some travel of all modes of transportation within Continental United States is required.
7. Fair Labor Standards Act: Exempt
8. Bargaining Unit Position: No
9. An essential element of the SES is mobility across geographic, organizational, and functional lines. Individuals selected for SES positions may be subject to reassignment, which requires you to be mobile. All new appointed Career SES leaders must sign the Reassignment Rights Obligation Agreement as a condition of employment into the Senior Executive Service.
10. Security Requirements: Critical Sensitive.
11. Veterans' preference does not apply to positions in the Senior Executive Service.
12. Permanent Change of Station Cost: Moving expenses may be authorized.
13. 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.
Security Requirements: Critical Sensitive. Selectee must be able to acquire and maintain a Top Secret clearance.
**Certified Professional in Learning and Performance (CPLP) is desired, but not required for this position.
Benefits
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You will be evaluated for this job based on how well you meet the qualifications above.
Applicants will be evaluated on the basis of the quality and extent of their accomplishments, experience and education. An Executive Evaluation Panel will evaluate the resume, the Executive Core Qualifications statement and the Technical Qualifications statement for each candidate to determine the best qualified candidates who will be referred to the selecting official.
Benefits
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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. Executive Core Qualifications (ECQs) Narratives: written statements addressing each of the Five (5) ECQs.
2. Technical Qualifications (TQs) Narratives: written statements addressing each of the Three (6) TQs.
3. Résumé - You must submit a resume or any other written format you choose to describe your qualifications. The following information MUST be included:
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
You must submit all application documents by the closing date of the vacancy announcement, 03/25/2024
1. A complete application includes your written statements addressing the Executive Core Qualifications, the Technical Qualification(s), transcripts, a resume, and any other documents listed below under Required Documents.
Click "Apply Online" to create an account or log in to your existing USAJOBS account.
1. Follow the prompts to complete the questionnaire and upload required documents.
2. Please ensure you click the Submit My Answers button to submit your application.
3. 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 reselect your resume and other documents from your USAJOBS account or your application will be considered incomplete.
susan.r.hummel.civ@mail.mil
Once your completed application is received, we will conduct an evaluation of your qualifications. The most highly qualified candidates will be referred to the hiring manager for further consideration and possible interview.
Fair and Transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
1. Executive Core Qualifications (ECQs) Narratives: written statements addressing each of the Five (5) ECQs.
2. Technical Qualifications (TQs) Narratives: written statements addressing each of the Three (6) TQs.
3. Résumé - You must submit a resume or any other written format you choose to describe your qualifications. The following information MUST be included:
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.
Those who meet the five Executive Core Qualifications (ECQs).
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Applications will be accepted from all groups of qualified individuals.