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)
Be at the Forefront of Hospice & Palliative Care
A people-focused company, St Rita Hospice Inc invests in the careers of our valued leaders. We also invest in the resources necessary to stay ahead of the curve and remain an industry leader.
At SRH, you are part of a dynamic, interdisciplinary team that includes individuals as passionate about this important work as you are. You tackle every challenge with your can-do attitude and commitment.
What’s the Job Description for a Hospice Medical Director?
As a hospice medical director at SRH, you will live your purpose each day, overseeing the medical care of SRH patients in their homes, nursing homes, assisted living communities, and personal care homes.
You will consult with patients’ attending physicians, supervise SRH team physicians, guide staff and volunteers, and serve as a resource to practicing physicians and other healthcare professionals on the benefits of hospice and palliative care for patients and their families.
Hospice may be a good fit for you if you are passionate about:
Now is your opportunity to join one of our teams. We’re hiring compassionate, skilled hospice medical directors in Phoenix AZ and California.
To apply please send your resume to: stritahospice2021@gmail.com
Responsibilities:
- Provide medical leadership and oversight to ensure the delivery of high-quality healthcare services
- Supervise and mentor medical staff, including physicians, nurses, and other healthcare professionals
- Collaborate with interdisciplinary teams to develop and implement clinical protocols and guidelines
- Conduct clinical research and participate in quality improvement initiatives
- Ensure compliance with regulatory requirements, including FDA regulations
- Manage medical records and ensure accurate documentation of patient care
- Oversee utilization management and resource allocation to optimize patient outcomes
- Provide expertise in critical care and acute care medicine
- Collaborate with healthcare management to develop strategic plans and initiatives
- Provide guidance on occupational health programs and policies
Requirements:
- Medical degree from an accredited institution
- Board certification in a relevant specialty
- Active medical license in the state of practice
- Proven experience in a leadership or management role
- Strong knowledge of healthcare systems and operations
- Familiarity with utilization management principles and practices
- Understanding of FDA regulations related to clinical research and drug development
- Excellent communication and interpersonal skills
Note: This job description is intended to provide a general overview of the position. It is not exhaustive or comprehensive. Other duties may be assigned as needed to meet the ongoing needs of the organization.
Job Type: Part-time
Pay: Up to $92,975.38 per year
Benefits:
Medical specialties:
Schedule:
Work Location: Remote