Claims Quality Audit Director jobs in New Mexico

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)

P
Director, Audit Services
  • PNM Resources, Inc
  • Albuquerque, NM FULL_TIME
  • DEPARTMENT

    Department: Audit Services

    Hiring Manager: Lisa Eden

    JOB DESCRIPTION

    Director, Audit Services
    Salary Grade: G02
    Minimum Midpoint Maximum
    $131,698 - $184,377 - $237,057

    This position is open until filled.

    Given the financial nature of this position, this position has been defined as a position requiring a credit check. Prior to being hired, promoted, or transferred into the position, the candidate must successfully pass a credit background check.

    SUMMARY:

    Provide leadership, strategy and planning for all internal audit activities across PNM Resources and its subsidiaries. Aligns internal audit plans with strategic objectives and with the enterprise risk management program to provide holistic solutions and policy proposals. Examines and analyzes accounting records to determine the financial status of the organization and prepares financial reports concerning operating procedures.

    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    • Responsible for overall preparation and execution of a risk-based audit plan to assess, report on, and recommend improvements to the company's key operational and finance activities and testing of internal controls
    • Supports the Audit Committee of the Board of Directors in assessing the quality of financial reporting, effectiveness of internal controls, and the application of accounting principles
    • Assesses internal processes for determining and managing risk areas
    • Assist the business in driving continuous improvement in quality and execution by providing unbiased insight and recommendation to management, including value-added activities through operational or financial audits
    • Evaluates the independence, objectivity, and effectiveness of the external auditors. Coordinates direct assistance, if applicable, with external auditors, and serves as main liaison on SOX program with external auditors partners and senior managers
    • Supports the Management of the Company in suggesting improvement in operations and business processes through benchmarking and establishment of best practices. Promotes a culture of integrity through communication and collaboration with all internal and external stakeholders
    • Identifies control issues in early stages before they become problems
    • Improves the cycle time and the number of special projects undertaken by audit groups to serve their customers Improves the perceived value of audit to the Company
    • Mentors high performance professionals in preparation for taking key positions within the Company

    COMPETENCIES:

    • Demonstrated experience in business planning, organizational and operational planning, performance management, and benchmarking
    • Demonstrated ability to be proactive, rather than reactive to problem situations
    • Demonstrated creativity and innovation in solving problems and making processes more efficient Demonstrated willingness to lead the change process
    • Demonstrated interpersonal skills to communicate, sell ideas, and motivate
    • Proven leadership, managerial, and motivational ability in constantly changing management
    • Detailed knowledge of process analysis, quality improvement, and project management Demonstrated judgment and ability to make sound people, business, and technical decisions

    QUALIFICATIONS

    MINIMUM EDUCATION AND/OR EXPERIENCE:

    • Bachelor's degree from four-year college or university with seven to nine years related experience including four years of management experience, or equivalent combination of education and/or experience related to the discipline.
    • Master's degree preferred.

    CERTIFICATES, LICENSES, REGISTRATIONS:

    • CPA, CMA, CIA, or CFA preferred.

    SUPERVISORY RESPONSIBILITIES:

    • Manages, directs, coaches, supports, delegates, and develops a diverse, high-performance group of professionals. Monitors and coordinates the work and performance of external accountants and auditors.

    COMMUNICATION SKILLS:

    • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
    • Ability to write complex reports, business correspondence, and procedure manuals
    • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the public

    MATHEMATICAL SKILLS:

    • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry
    • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations ANALYSIS AND PROBLEM-SOLVING ABILITY:
    • Ability to solve complex practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

    COMPUTER SKILLS:

    • Working knowledge of database software, inventory software, spreadsheet, and word processing software.

    PHYSICAL DEMANDS:

    • While performing the duties of this job, the employee is regularly required to sit up to 2/3 of the time. The employee must occasionally lift and/or move up to 10 pounds.

    WORK ENVIRONMENT:

    • Office environment.
    • Employees in Services Company may be responsible for providing services to various holding company subsidiaries and affiliates.

    EQUAL OPPORTUNITY STATEMENT

    Safety Statement:
    Safety is a core value at (PNMR/PNM/TNMP) and our vision, “everyone goes home safe”, reflects our commitment to promoting an environment conducive to learning, improving and building safety practices. Our safety value is built upon the belief that every employee deserves to work in an environment free from harm.

    Americans with Disabilities Act (ADA) Statement:
    PNM Resources is committed to providing reasonable accommodations for qualified individuals with disabilities in compliance with the ADA. If you require assistance with the job application process due to a disability, please contact HR ADA Analyst, at 505-241-4627.

    DEI Statement:
    At PNM Resources, we value the diversity of our workforce and actively seek opportunities for incorporating Diversity, Equity, and Inclusion (DEI) within our family of companies. We believe a diverse workforce enriches our environment and helps us better meet the needs of our employees, customers, and shareholders. We remain committed to attracting and sustaining a diverse workforce and retaining high-performing employees who work collaboratively to carry out the Company's purpose.

    PNM Resources and affiliates are Equal Opportunity/Affirmative Action employers. Women, minorities, disabled individuals and veterans are encouraged to apply.

  • Just Posted

C
NM - Albuquerque - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Albuquerque, NM FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 27 Days Ago

M
Director of Quality
  • Medical Search Associates
  • White, NM FULL_TIME
  • Do not apply if you don't have Acute Care Hospital experience.Looking for a Certified Professional in Patient Safety (CPPS) to be considered for the position. ** Please apply with a PDF version of you...
  • 13 Days Ago

D
Quality Director
  • Delectus, LLC
  • Las Cruces, NM FULL_TIME
  • Job Description: The Quality Director is a pivotal role responsible for overseeing all aspects of organizational quality. The Quality Director will play a vital role in ensuring compliance with regula...
  • 14 Days Ago

A
Assistant F&B Director
  • Assistant Director of Food & Beverage
  • Santa Fe, NM FULL_TIME
  • Job summary -Responsible for the management and successful operation of all aspects of the outlet functions, in accordance with hotel standards. Directs, implements and maintains a service and managem...
  • 7 Days Ago

U
Director of Quality Management
  • UNM Sandoval Regional Medical Center
  • Rio Rancho, NM FULL_TIME
  • Job Summary and Scope Responsible for the ongoing development, direction, supervision and administration of the following departments and programs: Quality Management, Core Measures, Regulatory Compli...
  • Just Posted

B
Director of Quality Control
  • Bechtel Recruiting Group
  • Director of Quality Control -- Thank you for taking the time to consider applying with the Bechtel Recruiting Group. We ...
  • 4/24/2024 12:00:00 AM

J
Director of Quality Control
  • Jla Architects
  • Denver, CO
  • Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
  • 4/23/2024 12:00:00 AM

J
Director of Quality Control
  • JLA Architects
  • Denver, CO
  • Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
  • 4/23/2024 12:00:00 AM

J
Director of Quality Control
  • JLA Architects
  • Milwaukee, WI
  • Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
  • 4/23/2024 12:00:00 AM

J
Director of Quality Control
  • Jla Architects
  • Milwaukee, WI
  • Position Summary: The Director of Quality Control is a leadership position created to improve the quality & consistency ...
  • 4/23/2024 12:00:00 AM

K
Director of Quality Control
  • Kalon Executive Search for Health and Wellness
  • Los Angeles, CA
  • Our client, a health and wellness company are seeking a qualified Director of Quality Control to help build a solid, sta...
  • 4/22/2024 12:00:00 AM

K
Director of Quality Control
  • Kalon Executive Search for Health and Wellness
  • Los Angeles, CA
  • Our client, a health and wellness company are seeking a qualified Director of Quality Control to help build a solid, sta...
  • 4/22/2024 12:00:00 AM

B
Director of Quality Control
  • BioRestorative Therapies, Inc.
  • Melville, NY
  • Maintain a robust Quality Management (QM) program in concert with the Biologic Therapies Facility (BTF) Director, Direct...
  • 4/21/2024 12:00:00 AM

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$139,781 to $199,766

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