Claims Quality Audit Director jobs in Rutland, VT

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 of Quality
  • CROSS COUNTRY SEARCH
  • Rutland, VT TEMPORARY
  • DIRECTOR OF QUALITY & PATIENT SAFETY 

    Rutland Vermont

     

    This position has overall accountability for all aspects of quality improvement, regulatory readiness for the entire organization.  This responsibility includes setting the strategic direction for programs and functions necessary to support the organization in the pursuit of high-quality care and effective operations.

     

    The Director develops, deploys, and evaluates performance improvement & risk reduction initiatives and processes that help improve patient care delivery and safety, enhance administrative operations, and create a culture of continuous improvement & excellence within the hospital by maximizing the potential of its people, processes, and systems.

     

    The Director works in a collaborative manner with Leadership, the staff of entities and with members of the Medical Staff. This position uses effective strategies in developing, supervising and evaluating work processes, compliance with regulatory and professional standards, resource consumption, planning and outcomes, working in a collaborative manner with all organizational employees.

     

    Minimum Education

     

    Bachelors of Nursing (BSN) required

    Master’s Degree in healthcare administration, public health, clinical field or a related area preferred.

    Minimum Work Experience

     

    Experience in an acute care setting in quality improvement or risk management.

    Experience in formalized quality improvement, business and strategic planning activities, management and financial planning and budgetary cost control, preferred.

    Required Licenses/Certifications

     

    Licensed in the State of Vermont

    Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) preferred.

    Certification in Lean Six Sigma or other process improvement methodology strongly preferred.

    Required Skills, Knowledge, and Abilities

     

    Thorough understanding of the health care environment, trends and issues.

    Familiar with the Center for Medicare & Medicaid Services (CMS) and The Joint Commission standards and processes for survey & accreditation

    Strong leadership skills with ability to mentor others

    Excellent analytical skills and attention to detail.

    Significant experience with process improvement & change management work and ability to create a culture that supports quality

    Strong written and verbal communication skills.

    Excellent diplomacy, problem-solving, conflict management, team building, and collaboration skills.

    Ability to read and quality & financial reports and understand and apply to areas of responsibility to support the organization in achieving its goals.

    Excellent organizational and time management and self-motivation skills.

    Strong Microsoft Windows desktop application and navigation skills.

    Knowledgeable regarding budget development.

    Strong knowledge of Microsoft desktop applications

  • 8 Days Ago

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External Audit Director: Consumer Industrial Products Services
  • PRICE WATERHOUSE COOPERS
  • Montpelier, VT OTHER
  • A career within External Audit services, will provide you with the opportunity to provide a range of Assurance services and business advice to a variety of clients from small, fast growing clients to ...
  • 5 Days Ago

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Quality Management Director
  • Copley Health Systems
  • Morrisville, VT FULL_TIME
  • Overview The Quality Management Director will work under the direction of the Chief Nursing Officer, and in close collaboration with the CEO and COO. This position will provide leadership and oversigh...
  • 21 Days Ago

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Director, IT Quality
  • National Life Group
  • Montpelier, VT FULL_TIME
  • Director, IT Quality Summary The Head of Quality Engineering will play a key leadership role on the IT Application Development and Maintenance (ADM) team. This role leads the Quality Engineering Cente...
  • 25 Days Ago

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Director of Global Quality
  • OnLogic
  • South Burlington, VT FULL_TIME
  • As Director of Global Quality at OnLogic, you lead our overall quality system and approach for our global manufacturing operations in North America, Europe and Asia. You are responsible for the overal...
  • 1 Month Ago

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Senior Director Quality Services - RN Preferred
  • Littleton Hospital Association
  • Littleton, NH FULL_TIME
  • SUMMARY AND ESSENTIAL FUNCTIONS: The Senior Director of Quality Services provides education support and acts as a resources for individual organization departments regarding Quality process including ...
  • 6 Days Ago

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0 Claims Quality Audit Director jobs found in Rutland, VT area

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Assembler
  • Timken
  • Lebanon, NH
  • Your Career Begins at Timken If you're ready for a challenging career that provides you with the ability to advance pers...
  • 3/28/2024 12:00:00 AM

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Sales Professional-Work From Home
  • The Baldini Agency
  • Rutland, VT
  • 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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Assistant Retail Management
  • Aldi
  • Rutland, VT
  • When you join our team as an Assistant Store Manager, youll take on key store management responsibilities including assi...
  • 3/28/2024 12:00:00 AM

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Assistant Retail Manager
  • Aldi
  • Rutland, VT
  • When you join our team as an Assistant Store Manager, youll take on key store management responsibilities including assi...
  • 3/28/2024 12:00:00 AM

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Oncology Nurse Supervisor
  • Clinical Management Consultants
  • Killington, VT
  • Expand your career with an incredible new opportunity as an Oncology Nurse Supervisor in the central Vermont area at an ...
  • 3/28/2024 12:00:00 AM

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Nurse Manager Progressive Care
  • Clinical Management Consultants
  • Wallingford, VT
  • An award-winning acute care hospital located in central Vermont is now searching for an experienced Nurse Manager Progre...
  • 3/28/2024 12:00:00 AM

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Quality Assurance Technician
  • Adecco US, Inc.
  • Claremont, NH
  • **Adecco Staffing is working with one of the America's few remaining, family-owned smokehouses who is looking for a Qual...
  • 3/27/2024 12:00:00 AM

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Manufacturing Quality Technician
  • Nolato
  • Bethel, VT
  • Nolato GW is a global leader in precision injection molding and contract manufacturing for the world's most successful h...
  • 3/25/2024 12:00:00 AM

Rutland, Vermont may refer to: Rutland (city), Vermont Rutland (town), Vermont Rutland County, Vermont West Rutland, Vermont...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Director jobs
$150,206 to $214,658
Rutland, Vermont area prices
were up 1.6% 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