Claims Quality Audit Supervisor jobs in Washington

Claims Quality Audit Supervisor supervises and coordinates daily activities of claims quality auditors. Provides assistance in developing claims audit policies and procedures. Being a Claims Quality Audit Supervisor solves day-to-day problems and monitors the results of daily staff activities, reports critical issues and problems to the management. Typically requires a bachelor's degree. Additionally, Claims Quality Audit Supervisor typically reports to a manager. The Claims Quality Audit Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. Thorough knowledge of department processes. To be a Claims Quality Audit Supervisor typically requires 3-5 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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DIRECTOR, QUALITY AUDIT
  • BrightSpring Health Services
  • SEATTLE, WA FULL_TIME
  • Our Company

    BrightSpring Health Services

    Overview

    The Quality Audit Director partners with operations and other support teams to ensure quality, integrity in services, stability, and process efficiency in operations through inspection, auditing, and collaboration. Ensures adherence to audit schedules. Communicates audit results and trends with local managers, upline management, and corporate departments. Provides education during the audit process and makes recommendations for development or revision to policy, process, education, best practices, etc. based on audit results. Ensures that the audit itself is updated and measures service quality, fosters compliance with internal and external requirements, and provides education for field operations regarding requirements and the audit process.

    Responsibilities

    • Develops and implements the auditing policies and procedures• Participates in meetings with internal departments to gather information and ensure that the audit/assessment tools continue to measure critical indicators of success and address audit/company objectives• Ensures continuous learning and development of skillsets needed to perform a comprehensive quality audit and provide required direction to the audit team as well as field operations to improve performance• Oversees and ensures that the audit is completed for all applicable operations at the frequency determined (after baseline is established, a frequency is determined based on prior audit performance)• Completes audits, provides education for operations staff regarding requirements and audit process, and meets targets for reviews• Ensures that the quality audit tools are updated and measure service quality and fosters compliance with internal and external requirements • Communicates audit results/trends to operations managers/leadership, operations support team, and any/all pertinent corporate departments• Makes recommendations for revisions in policy/education/training• Reviews and prepares written reports to communicate observations and redesign recommendations• Facilitates compliance with corporate policies and legal requirements and reports audit findings that would put the company at risk to senior management and the Chief Compliance Officer and/or Legal Department• Works with regional operations and quality leadership to identify priorities, determine operational needs, and recommend actions to drive improvement• Provides expertise regarding policy interpretation, process improvement, and follow-up actions required• Uses data from additional sources such as audits, Critical Incidents, Satisfaction Surveys, and regulatory reviews to prioritize operations for audit and guide recommendations for revision to quality improvement goals and objectives• Reinforces the consistent utilization of the company’s risk management systems to maximize the safety and security of employees and those receiving services• Maintains expert knowledge related to accreditation standards, compliance and regulatory requirements, and review processes• Supports operations to provide services in an ethical and lawful manner• Keeps abreast of all company policies and procedures, local, state, and federal laws and regulations, and applicable accreditation standards• Accountable to proactively identify issues and request assistance up-line as indicated• Ensures and coordinates communications and information between corporate departments, field operations, and the quality audit team • Participates in special projects and performs related duties as assigned

    Qualifications

    • Bachelor’s Degree in human services, education, social work, nursing, or a related field required• 3-5 years prior work experience in Community Living, HomeCare required• Prior experience in conducting audits/quality reviews preferred• Must be able to work independently• Requires excellent written and oral communication skills• Proven ability to manage multiple priorities• Working knowledge of regulatory requirements for assigned Line of Business• Excellent computer skills including Microsoft Word, Excel, and PowerPoint• Must be willing to work flexible hours• Requires up to 100% travel across multiple states• Reviews will be completed in the operations to include residential homes, day programs, host/foster family homes, client homes, and offices• Remote work such as electronic record reviews, developing reports, and preparation can be completed at home offices

    About our Line of Business

    BrightSpring Health Services is a leading provider of complementary home and community-based pharmacy and health services for complex populations in need of chronic and/or specialized care. Through the company’s pharmacy and provider services to seniors and specialty (including behavioral) populations, we provide comprehensive care and clinical services in 50 states to over 360,000 customers, clients and patients daily. The company’s services foster greater patient and family satisfaction, improve outcomes and reduce health care system costs, and are supported by industry-leading quality outcomes. For more information, visit www.brightspringhealth.com. Follow us on Facebook, Twitter and LinkedIn.

    Salary Range

    USD $65,000.00 - $75,000.00 / Year
  • 23 Days Ago

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Quality Audit Coordinator
  • McCain Foods USA, Inc.
  • Othello, WA FULL_TIME
  • Position Title: Quality Audit Coordinator Position Type: Regular - Full-Time Position Location: Othello Requisition ID: 28747 McCain Foods USA Job Description/Job Safety Analysis Othello Factory Job T...
  • 1 Day Ago

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Quality Audit Coordinator
  • McCain Foods
  • Othello, WA FULL_TIME
  • Position Title: Quality Audit Coordinator Position Type: Regular - Full-Time Position Location: Othello Requisition ID:28747McCain Foods USA Job Description/Job Safety Analysis Othello Factory Job Tit...
  • 3 Days Ago

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Floor Technician/Custodian Supervisor
  • Quality Cleaning
  • Spokane, WA FULL_TIME
  • Job SummaryWe are seeking a dedicated and experienced Floor Tech / Supervisor to join our team. You will be responsible for overseeing the floor projects for our client and the training of new hires. ...
  • 16 Days Ago

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Front Office Services Supervisor Person
  • Front Office Services Supervisor Person
  • Seattle, WA FULL_TIME
  • As an Office Service Person, you’ll be in charge of supporting copy/print duties, take incoming mail to the right office/department, scheduling conference rooms/guest office space, answering phones, r...
  • 4 Days Ago

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RN House Supervisor Moses Lake, WA
  • Quality Clinicians
  • Moses Lake, WA FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $2736-$3736/week Multiple shift openings Job Description/Responsibilities...
  • 24 Days Ago

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Quality Supervisor
  • Phoenix Services, LLC
  • Toledo, OH
  • Job Description Job Description Quality Manager needed for a growing company in Northwood, OH! You would be responsible ...
  • 3/28/2024 12:00:00 AM

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Quality Supervisor
  • Path Engineering
  • New Ulm, MN
  • Role As a Quality Supervisor (also known as Quality Assurance Supervisor, Quality Control Supervisor), you'll oversee an...
  • 3/28/2024 12:00:00 AM

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Quality Supervisor
  • KH Manufacturing - North America
  • New Ulm, MN
  • About Us The Kraft Heinz Company is one of the largest food and beverage companies in the world, with eight $1 billion+ ...
  • 3/28/2024 12:00:00 AM

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Quality Supervisor
  • The Judge Group
  • Charlotte, NC
  • Since 1869 we've connected people through food they love. Our history was created by remarkable people, ideas, and innov...
  • 3/28/2024 12:00:00 AM

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Quality Supervisor
  • The Judge Group
  • Knoxville, TN
  • The Judge Group is seeking a degreed Quality Assurance Supervisor in Knoxville, TN area! Responsibilities: Direct all QA...
  • 3/28/2024 12:00:00 AM

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Quality Supervisor
  • Kraft Heinz
  • Muscatine, IA
  • General information All posting locations: Muscatine, Iowa, United States of America Job Function: 07 - Quality Date Pub...
  • 3/27/2024 12:00:00 AM

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Quality Supervisor
  • Kraft Heinz Company
  • Muscatine, IA
  • Job Description Essential Functions & Responsibilities •Actively engaged support in planning, defining, and directing th...
  • 3/25/2024 12:00:00 AM

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Quality Supervisor
  • Kraft Heinz Company
  • Fremont, OH
  • Job Description Essential Functions & Responsibilities Actively engaged support in planning, defining, and directing the...
  • 3/24/2024 12:00:00 AM

Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Supervisor jobs
$77,519 to $97,140

Claims Quality Audit Supervisor in Provo, UT
Based on our compensation data, the estimated salary potential for Claims Quality Audit Supervisor will increase 16 % over 5 years.
January 29, 2020