Claims Quality Audit Manager jobs in Texas

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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Audit Services Manager (Partial Remote) - Audit Services
  • Audit Services - UTMB Health Careers
  • Galveston, TX FULL_TIME
  • Minimum Qualifications:

    Bachelor’s degree in a related field and ten years of related audit/management/operational experience. 

    Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information Systems Auditor (CISA) required.

    Job Summary:

    Manage multiple independent, objective assurance and advisory activities over various operational areas to evaluate and improve the adequacy and effectiveness of risk management, internal controls, and governance processes. Assist the Chief Audit Executive (CAE) in administrative matters to enable the Department to fulfill its mission

    Job Duties:

    • Manage multiple independent, objective assurance and consulting engagements to ensure that professional standards are met and that department resources are effectively and efficiently utilized. Monitor the implementation status of engagement recommendations.
    • Interact with and build strong working relationships with UTMB leadership at both a senior and departmental level on an ongoing basis and through such activities as serving on committees, roundtables, institutional task forces, and with other University of Texas component institution’s internal audit departments.
    • Participate in a management team assisting the Director and Chief Audit Executive in administrative areas such as planning and budget development, training and staff development, performance appraisal, compensation and employment decisions, recruitment, and scheduling.
    • Assist the Director and Chief Audit Executive in the annual risk assessment process and in the development of annual and long-range audit plans for presentation to the Institutional Audit Committee.
    • Stay informed of, and advise, audit management and staff concerning emerging risks/issues and changes in regulatory compliance requirements, departmental policies, professional auditing standards, data analytics, and best practices.
    • Work on special projects, and advisory engagements at the request of the Director or Chief Audit Executive.
    • Adhere to internal controls established for the department to ensure compliance with professional auditing standards.
    • Assist in educating staff in the use of computerized auditing tools.
    • Provide day-to-day supervision, guidance, and coaching to staff to ensure assignments are executed in a timely, complete, and accurate manner.
    • Assist in personnel activities including recruitment, selection, hiring, termination, training, professional development, mentoring, counseling, and annual performance evaluations.
    • Provide management with information regarding engagement performance, and assess professional development needs.
    • Assist in departmental administrative duties and responsibilities as assigned by the Director or Chief Audit Executive.
    • Assist in other administrative areas such as external audit liaison, quality assurance management, researching significant purchases, coordinating in-house training and orientation programs, and fulfilling certain transaction approval functions on a backup basis.
    • Preform related duties as required.

    Salary Range:

    Actual salary commensurate with experience.

    Work Schedule:

    Partial remote, Monday through Friday, 8am to 5pm, and as needed on occasion.

    Equal Employment Opportunity

    UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.

    Compensation
  • 24 Days Ago

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Business Development Manager
  • Trans Audit
  • Houston, TX FULL_TIME
  • Make a splash with us and become part of the world’s largest and most successful global transportation post audit specialist! We believe in a holistic approach to serving our Clients and employees wit...
  • 29 Days Ago

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Senior Claims Quality Audit Representative - National Remote
  • UnitedHealth Group
  • Dallas, TX FULL_TIME
  • You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we’re simplifying the health care experience, creating healthier c...
  • Just Posted

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Group Insurance Claims Manager
  • Blackhawk Claims Services
  • Irving, TX FULL_TIME
  • Job Overview:I'M HIRING!!!!! ARE YOU THIS PERSON? ARE YOU LOOKING FOR EMPLOYMENT OR NEED A CHANGE? COME JOIN US AT BLACKHAWK CLAIMS SERVICES! https://blackhawktpa.com The Group Insurance Claims Manage...
  • 2 Days Ago

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Bodily Injury Claims Manager
  • Allcat Claims Service
  • , TX FULL_TIME
  • ABOUT ALLCAT CLAIMS SERVICE Allcat Claims Service is an energetic company that places a high emphasis on learning and personal development by supporting and challenging its people to reach their full ...
  • 5 Days Ago

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Bodily Injury Claims Manager
  • Allcat Claims Service, LLC
  • US TX Remote, TX FULL_TIME
  • ABOUT ALLCAT CLAIMS SERVICE Allcat Claims Service is an energetic company that places a high emphasis on learning and personal development by supporting and challenging its people to reach their full ...
  • 2 Months Ago

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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...
  • 6/12/2024 12:00:00 AM

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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...
  • 6/12/2024 12:00:00 AM

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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...
  • 6/12/2024 12:00:00 AM

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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

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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

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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

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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

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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

Texas (/ˈtɛksəs/, locally /ˈtɛksɪz/; Spanish: Texas or Tejas Spanish pronunciation: [ˈtexas] (listen)) is the second largest state in the United States by both area and population. Geographically located in the South Central region of the country, Texas shares borders with the U.S. states of Louisiana to the east, Arkansas to the northeast, Oklahoma to the north, New Mexico to the west, and the Mexican states of Chihuahua, Coahuila, Nuevo León, and Tamaulipas to the southwest, while the Gulf of Mexico is to the southeast. Houston is the most populous city in Texas and the fourth largest in the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Manager jobs
$95,140 to $127,815

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