Claims Quality Audit Director jobs in North Dakota

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
  • Sanford Health
  • Fargo, ND FULL_TIME
  • Create Your Career With Us!

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

    Facility: Broadway Clinic

    Location: Fargo, ND

    Address: 737 Broadway N, Fargo, ND 58102, USA

    Shift: 8 Hours - Day Shifts

    Job Schedule: Full time

    Weekly Hours: 40.00

    Job Summary

    Provide oversight of quality, performance improvement, and patient safety activities. Develop the vision and strategic plan for quality, safety and continuous improvement across the Enterprise. Responsibilities include: budget management, allocation of appropriate resources and staffing, action plans, issue resolution, program development, education and mentorship of regional staff. Consults with senior leaders and frontline staff regarding error prevention strategies, advises on policies to encourage a culture of safety and design programs to deploy best practices in regard to increased error reporting and error reduction across the organization. Accountable to develop programmatic planning and project coordination to achieve the strategic goals of Sanford pertaining to quality, performance improvement and patient safety. Demonstrates the ability to analyze and synthesize complex or diverse information. Works well in group problem solving situations. Exhibits strong communication and presentation skills, and shows the ability to manage and coordinate project team activities. Effectively influences actions and opinions of others. Demonstrates understanding of clinical presentations of disease processes across the age spectrum. Demonstrates the ability to write clearly and concisely, communicating complex concepts accurately. Effectively presents information in a variety of venues and organizes communication systems necessary to achieve goals. Ability to read, analyze and interpret common scientific and technical journals, financial reports, and legal documents. Maintains an understanding of clinical presentations of disease processes across the age spectrum is necessary.

    Qualifications

    Bachelor's degree in nursing, public health, pharmacy, health administration, or other healthcare related field is required. Master's degree preferred.

    Minimum of three years quality improvement experience required. Prior leadership/management experience is preferred.

    Certifications in quality, patient safety, LEAN/Six-Sigma, project management or other applicable improvement methodologies is preferred.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0180334

    Job Function: Quality and Risk Management

    Featured: No

  • 6 Days Ago

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Director of QST (Quality/Safety/Training)
  • Noble Casing, Inc.
  • Williston, ND FULL_TIME
  • DescriptionTHIS POSITION MAY BE BASED OUT OF WILLISTON, ND OR THE NOBLE CORPORATE HEADQUARTERS IN FT. COLLINS, CO. Reporting Structure: Chief Business Officer (CBO)Summary of Responsibilities: The QST...
  • 1 Day Ago

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Audit Manager
  • Paro.ai
  • , ND CONTRACTOR
  • Who We Are Paro leverages proprietary AI technology to match our highly vetted experts with companies on an on-demand, hourly basis to solve their problems and drive growth. We have curated a network ...
  • 19 Days Ago

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Audit Associate
  • Eide Bailly LLP
  • Fargo, ND FULL_TIME
  • Who We Are Eide Bailly is one of the top 25 CPA and business advisory firms in the nation. We have over 40 offices in 15 states across the Midwest and western United States and offer our staff and Par...
  • 20 Days Ago

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Night Audit
  • My Place Hotels
  • Fargo, ND PART_TIME
  • My Place Hotel in Fargo is looking for motivated employees to become part of our Guest Services team! Monthly bonus potential! Flexible scheduling! Cross training! Growth potential! Responsibilities i...
  • Just Posted

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Night Audit
  • Php Stanley Llc
  • Stanley, ND FULL_TIME
  • Providence Hospitality Partners is based in Denver, Colorado, and founded in 2002. We strive to operate hotels where every guest wants to stay, every associate wants to work, and every investor wants ...
  • 3 Days Ago

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Director of Quality Control
  • Theery
  • Skokie, IL
  • our client is seeking a dynamic and experienced leader to join their team as the Leader of Quality Control. In this role...
  • 3/27/2024 12:00:00 AM

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Director of Quality Control
  • ADAGE INNOVATIONS INC
  • Alexandria, VA
  • Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opport...
  • 3/27/2024 12:00:00 AM

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Director of Quality Control
  • Virbac
  • Bridgeton, MO
  • Experiencing together a unique human adventure Animal health is key to the health of the planet. Working at Virbac means...
  • 3/27/2024 12:00:00 AM

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Associate Director of Quality Control
  • Sern BioScience
  • Bend, OR
  • The Quality Control department seeks an industry leader who demonstrates strong regulatory knowledge and GMP standards t...
  • 3/27/2024 12:00:00 AM

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Director of Quality Control
  • Direct Biologics
  • San Diego, CA
  • Direct Biologics is a market leading innovator and science-based cGMP manufacturer of regenerative biologic products. We...
  • 3/26/2024 12:00:00 AM

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Director of Quality Control/Training
  • Green Home Solutions
  • Mount Airy, MD
  • If you've got an eye for detail, an aptitude for solving problems, and a drive to make sure that you and your teammates ...
  • 3/26/2024 12:00:00 AM

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Director of Quality Control
  • Careerbuilder
  • Decatur, IL
  • The Head of Quality Control will be an instrumental part in the re-opening of our Manufacturing facility in Decatur, Ill...
  • 3/25/2024 12:00:00 AM

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Director of Quality Management
  • Select Specialty Hospital - The Villages
  • Oxford, FL
  • Overview: Critical Illness Recovery Hospital Director of Quality Management At Select Specialty/Regency Hospitals, a div...
  • 3/25/2024 12:00:00 AM

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$145,164 to $207,453

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