Claims Quality Audit Manager jobs in Louisiana
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)
Recently Added Claims Quality Audit Manager jobs
Field Case Manager
- Sedgwick Claims Management Services Inc.
-
Baton Rouge, LA
FULL_TIME
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Field Case Manager This field case manager will cover our Baton Rouge, Lafayette, and New Orleans, LA region, and must live in Baton Rouge area in order to be considered. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or graduate degree in health or human services field required with one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. TAKING CARE OF YOU BY Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
- 3 Days Ago
Audit Manager
- CyberCoders
-
Baton Rouge, LA
FULL_TIME
- If you are a Auditing Manager with 4 years of experience, please read on!We are looking for an experienced Audit Manager to join one of Americas fastest growing public accounting firms, voted one of 2...
- 2 Days Ago
Audit Manager
- CyberCoders
-
Houma, LA
FULL_TIME
- If you are an Auditing Manager with 4 years of experience, please read on! We are looking for an experienced Audit Manager to join one of Americas fastest growing public accounting firms, voted one of...
- 8 Days Ago
Audit Manager
- CyberCoders
-
Covington, LA
FULL_TIME
- We are looking for an Audit Manager to join our team. The main responsibilities of this role include planning, organizing, and managing the audit process for clients, as well as ensuring high quality ...
- 9 Days Ago
Audit Manager
- Carr, Riggs & Ingram
-
Metairie, LA
FULL_TIME
- AUDIT MANAGER With Governmental And Single Audit ExperienceAt CRI your career path is just that—yours. We are strong believers in the notion that your career should adapt to and integrate into your li...
- Just Posted
Audit Manager
- CyberCoders
-
Metairie, LA
FULL_TIME
- If you are an Auditing Manager with 4 years of experience, please read on! We are looking for an experienced Audit Manager to join one of Americas fastest growing public accounting firms, voted one of...
- Just Posted
Claims Quality Audit Manager jobs at Popular Companies
Product Quality Manager
- Apple Inc.
-
Cupertino, CA
- Imagine what you could do here. At Apple, new ideas have a way of becoming extraordinary products, services, and custome...
- 6/11/2024 12:00:00 AM
Final Drug Product Quality Manager
- Takeda Pharmaceuticals
-
Thousand Oaks, CA
- By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that t...
- 6/11/2024 12:00:00 AM
Product Quality Manager
- Azienda Anonima
-
- Join our international company, a leader in its field, as we seek an experienced Quality Manager. The Quality Manager en...
- 6/10/2024 12:00:00 AM
Product Quality Manager
- Lockheed Martin
-
Salina, NY
- Job ID: 665811BR Date posted: Apr. 30, 2024 Description:THE WORK Leads the RMS Syracuse Product Quality Assurance (PQA) ...
- 6/9/2024 12:00:00 AM
Product Quality Manager # SC044
- Cummins
-
North Charleston, SC
- Product Quality Manager # SC044 Description Advocate for product quality and act as an internal champion on behalf of th...
- 6/9/2024 12:00:00 AM
Director, Quality Audit Management
- Ironwood Pharmaceuticals
-
Boston, MA
- Ironwood Pharmaceuticals is a leading global gastrointestinal (GI) healthcare company on a mission to advance the treatm...
- 6/7/2024 12:00:00 AM
Product Quality Manager
- Lockheed Martin
-
Liverpool, NY
- Job Description THE WORK Leads the RMS Syracuse Product Quality Assurance (PQA) organization reporting to the Product Qu...
- 6/7/2024 12:00:00 AM
Quality Manager
- Expert Connections
-
Johnson City, TN
- Our client is a global leader in the high-performance battery separators industry. The Quality Manager will lead the eff...
- 6/7/2024 12:00:00 AM
About Louisiana
Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico.
The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast.
The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Manager jobs
$92,419 to $124,159
Most Popular Cities in Louisiana for Claims Quality Audit Manager Jobs
What does a Claims Quality Audit Manager do?
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
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