Claims Quality Audit Director jobs in Lawton, OK

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)

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Director Quality
  • Southwestern Medical Center
  • Lawton, OK OTHER

  • Description

    Position Summary                

     The Chief Quality Officer coordinates the organization-wide performance improvement program, the risk management program and ensures compliance with regulatory requirements. In addition, this role may, but is not all inclusive of the following: infection control.

     

    Essential Job Functions:

    1.     Oversees the development, coordination and evaluation of effective hospital wide quality management programs, including mandatory required reporting measures (core measures, HCAPHS).

    2.     Directs broad operations to ensure facility wide compliance with all regulatory and accreditation agencies and hospital requirements.

    3.     Ensures collaborative departmental approach to long-range strategic operational planning, care and service

    design and development of organizational policies that reflect the mission of the organization.

    4.     Continuously assesses, measures, and improves departmental performance.

    5.     Demonstrates responsible management of all Quality Management Departmental resources.

    6.     Demonstrates managerial competency. Ensures professional development needs of management and staff are met.


    Qualifications

    Position Requirements:

     

    A.   Licensure/Certification/Registration:

          Current License-State of Oklahoma

                     

    B.   Education:      

          Graduate of Accredited School of Nursing, BSN or related field. Masters degree preferred

     

    C.   Experience:     

           Minimum of 5-8 years in nursing or other healthcare management. Extensive knowledge of various regulatory

           agencies and required standards, such as  Joint Commission, State, and CMS, etc.   

     

    D.     Special qualifications:

            Effective communication and interpersonal skills to interact with patients, visitors, physicians, and

            department/hospital staff members. Self-motivated, independent, professional, creative, and dependable.  Able to

            merge clinical and financial processes.  Must have the ability to analyze, assemble, and prepare statistical reports.

            Basic office and computer skills.

     

        III.    Degree of Supervision Required:

     

    Involves general guidance and direction by Administration.  The Chief Quality Officer is expected to perform most                     

    job duties independently and in accordance with established departmental and hospital policies/procedures.

  • 21 Days Ago

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Director Quality
  • Southwestern Medical Center
  • Lawton, OK OTHER
  • DescriptionPosition Summary The Chief Quality Officer coordinates the organization-wide performance improvement program, the risk management program and ensures compliance with regulatory requirements...
  • 28 Days Ago

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Casino Audit Clerk, NB
  • the Chickasaw Nation
  • Ardmore, OK FULL_TIME
  • Casino Audit Clerk, NB - 4820 Ardmore, OK | Accounting | Full Time Posted today ApplySave Description We are currently looking for a Full Time Casino Audit Clerk, NB to join our team located at the La...
  • 1 Month Ago

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LVN/LPN Home Health Lawton, OK
  • Quality Clinicians Staffing
  • Lawton, OK FULL_TIME
  • Please only apply if you have LVN/LPN experience. We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package Weekly Pay Range: $1115.09/week Multiple s...
  • 1 Day Ago

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Front Desk/Night Audit Clerk
  • Sleep Inn & Suites
  • Lawton, OK FULL_TIME
  • About usSleep Inn & Suites is a small business in Lawton, OK. We are professional, agile and customer-centric.Our work environment includes: Modern office setting On-the-job training Safe work environ...
  • 3 Days Ago

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Quality Manager
  • CIRCULUS ARDMORE, PBLLC
  • Ardmore, OK FULL_TIME
  • Position: Quality ManagerLocation: Ardmore, OKAbout Us:Circulus is a leading plastics manufacturing company that is dedicated to providing high-quality products/services to our customers. We are commi...
  • 11 Days Ago

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0 Claims Quality Audit Director jobs found in Lawton, OK area

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Part-Time Weekend Breakfast Attendant
  • Holiday Inn Express Lawton
  • Lawton, OK
  • Compensation Type: Hourly Highgate Hotels: Highgate is a premier real estate investment and hospitality management compa...
  • 3/28/2024 12:00:00 AM

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Psychologist Reviewer
  • Centene
  • Lawton, OK
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
  • 3/28/2024 12:00:00 AM

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Sales Professional-Work From Home
  • The Baldini Agency
  • Lawton, OK
  • Job Description We are In ALL 50 STATES searching for high quality sales representatives to work remotely. You have the ...
  • 3/28/2024 12:00:00 AM

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ACCOUNT EXECUTIVE-LAWTON
  • STANDLEYS SYSTEMS LLC
  • Lawton, OK
  • Job Details Job Location OK Lawton - Lawton, OK Position Type Full Time Education Level Not Specified Travel Percentage ...
  • 3/27/2024 12:00:00 AM

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Cook
  • Southwestern Medical Center LLC
  • Lawton, OK
  • Title Cook Description **Position Summary:** Prepares, cooks, and serves high volume of foods from menus prepared by the...
  • 3/26/2024 12:00:00 AM

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Certified Registered Nurse Anesthetist (CRNA) - Lawton
  • Numunu Staffing LLC
  • Lawton, OK
  • The Certified Registered Nurse Anesthetist (CRNA) performs the following: Documents a pre-anesthetic assessment and eval...
  • 3/25/2024 12:00:00 AM

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CERTIFIED MEDICATION AIDE
  • The GEO Group, Inc.
  • Lawton, OK
  • Job Description Benefits Information ***$1,000.00 Sign-on Bonus*** Full-time employees will enjoy a competitive benefits...
  • 3/25/2024 12:00:00 AM

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Medical Surgical RN
  • Clinical Management Consultants
  • Lawton, OK
  • A rewarding opportunity has just been presented in Southern Oklahoma for the Medical Surgical RN! Reporting to an experi...
  • 3/25/2024 12:00:00 AM

Lawton is the fifth largest city in Oklahoma, located at 34°36′16″N 98°23′45″W / 34.60444°N 98.39583°W / 34.60444; -98.39583 (34.604444 N, 98.395833 W). The city has a total area of 75.1 sq mi (195 km2), all land. Lawton is located approximately 84 mi (135 km) southwest of Oklahoma City. Other surrounding cities include Wichita Falls about 47 mi (76 km) to the south, Duncan about 33 mi (53 km) to the east, and Altus about 56 mi (90 km) to the west. Lawton lies in an area typical of the Great Plains, with prairie, few trees, and flat topography with gently rolling hills. The region north of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$128,655 to $183,860
Lawton, Oklahoma area prices
were up 1.2% from a year ago

Claims Quality Audit Director in Olympia, WA
Based on our compensation data, the estimated salary potential for Claims Quality Audit Director will increase 16 % over 5 years.
December 23, 2019