Top 931 Audit supervisor Jobs in Pennsylvania

Clinical Quality Manager - Remote in Pennsylvania
UnitedHealthcare —Fort Washington, PA
- $91,700 - $163,700 a year
- Full-time
- Remote
- RN License
- Writing skills
- Pass drug screening
3d
Food Safety and Quality Control Manager
Ritter Foods, LLC —Philadelphia, PA
- Full-time
- 5 years
- Bachelor's degree
- Mentoring
- Disability insurance
- Health insurance
Quick Apply
Nursing Supervisor
New Directions Treatment Services —Wyomissing, PA
- Email
- Background check
- Nursing
- Patient monitoring
- Free parking
- Continuing education credits
Quick Apply
RN Supervisor Sign on Bonus up to $10,000
WeCare at Sycamore —Montoursville, PA
- $50 - $55 an hour
- Full-time
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
1d
Quality Assurance Manager
Westchester Plastics LLC —Nesquehoning, PA
- $85,000 - $100,000 a year
- Full-time
- Fair chance
- In-person
- Senior level
- Health savings account
- 401(k)
Quick Apply
Senior Manager, Assurance
Forvis Mazars —Pittsburgh, PA
- Full-time
- 7 years
- CPA
- Master's degree
Quick Apply
12d
Chemistry Department Manager
HACCP Assurance Services —Bloomsburg, PA
- Full-time
- Supervising experience
- Bachelor's degree
- Mentoring
- Tuition reimbursement
- Paid time off
Quick Apply
3d
Temporary Laboratory Supervisor
PRIMARY CARE HEALTH SERVICE —Pittsburgh, PA
- $30 - $40 an hour
- Temporary
- Doctoral degree
- Primary Care
- HIPAA
Quick Apply
Tax Manager - Senior Level
Boyer & Ritter —Camp Hill, PA
- Full-time
- Hybrid work
- CPA
- Research
- 8 years
Quick Apply
Manager of Credit and Accounts Receivable
Lumbermens Merchandising Corporation —Wayne, PA
- Full-time
- Background check
- Writing skills
- 3 years
- Health insurance
- Dental insurance
Quick Apply
5d
RN Supervisor FT 2nd shift 10,000 sign on bonus
WeCare at Sugar Creek —Franklin, PA
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Finance Manager
Confidential —State College, PA
- $80,000 - $90,000 a year
- Full-time
- Background check
- Management
- ERP systems
- Disability insurance
- Relocation assistance
Quick Apply
Supervisor Ambulatory Clinical Operations LPN - Family Medicine Middleburg/Mifflinburg- Days
Wellspan Health —Mifflinburg, PA
- Full-time
- Nursing
- Patient monitoring
- RN License
- Paid parental leave
- Health insurance
LPN Supervisor, Ambulatory Clinical Operations Hanover Family Medicine - Days
Wellspan Health —Hanover, PA
- Full-time
- Nursing
- Patient monitoring
- RN License
LPN Supervisor-Ambulatory Clinical Operations - Family Medicine East Berlin and Littlestown - Days
Wellspan Health —East Berlin, PA
- Full-time
- Nursing
- Patient monitoring
- RN License
RN Hospice Team Manager
Adoration Health —Camp Hill, PA
- Full-time
- CPR Certification
- Nursing
- RN License
- Mileage reimbursement
- Health insurance
LPN Supervisor, Ambulatory Clinical Operations - Internal Medicine Adams Health Center - Days
Wellspan Health —Gettysburg, PA
- Full-time
- Nursing
- Patient monitoring
- RN License
AP Manager
Wheatland Tube, LLC —Wheatland, PA
- $20,000 - $97,000 a year
- Temporary
- Background check
- Mid-level
- Office
Environmental Health and Safety Manager
Universal Corporation —Lancaster, PA
- Full-time
- Spanish
- Writing skills
- English
- Health savings account
- Health insurance
Quick Apply
Manufacturing Quality Manager
Mactac North America —Moosic, PA
- Full-time
- 5 years
- Engineering
- Travel
Quick Apply

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Clinical Quality Manager - Remote in Pennsylvania

UnitedHealthcare -
Fort Washington, PA

Apply Now

Job Details

Full-time
$91,700 - $163,700 a year
3 days ago

Qualifications

Medical performance measurement report preparation
Managed care
Managed care organization experience
Writing skills
Quality control audit
Quality reports
Clinical audit and monitoring
Team management
Project management experience in healthcare
Continuous clinical improvement initiatives
Managing projects
Quality audits
Insurance (Financial sectors)
Audit support
Quality assurance experience within healthcare

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Quality Management Manager will monitor and support the health plan quality improvement initiatives with particular emphasis on HEDIS, NCQA, and State Performance measures. You'll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives.

If you are located in Pennsylvania, you will have the flexibility to work remotely* as you take on some tough challenges. This position will travel up to 10% in the PA market.

Primary Responsibilities:

Oversee the implementation of plan's quality improvement program (QAPI)
Work to coordinate the work with the clinical, operations, and network teams to improve HEDIS and NCQA performance and to close gaps in care
Manage Quality work plan programs and activities
Collaborate across local and national business segments to achieve goals and targets
Develop and maintain positive relationships with external state organizations within the scope of Quality Management
Continuously monitor HEDIS, NCQA, and state performance measure results and adjust programs to ensure targeted goals
Support Performance Improvement Projects, accreditation, and regulatory audits as needed
Develop and mentor quality department staff
Oversee quality quarterly review meetings with state partners
Serve as panelist for grievance and appeal hearings

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

RN License in the state of Pennsylvania AND/OR Master's degree in a Healthcare Field (e.g. Public Health, Health Administration, Health Education, etc.)
Experience with HEDIS and NCQA - quality improvement project experience
Experience managing staff or staff mgmt. for projects
Experience writing reports and managed care industry
Experience with outside audit organizations such as External Quality Review Organizations (EQROs)
Reside in the state of Pennsylvania and ability to travel up to 10% in the PA market

Preferred Qualifications:

2+ years demonstrated Management experience with responsibility for team performance management
Quality improvement experience within a health plan
Experience with excel (working with pivot tables) and creating PPT presentations
Medicaid experience
Clinical experience/background
Ability to make independent decisions
Change management experience and demonstrated skills
Ability to complete various deliverables utilizing scholarly writing and AI technology
Experience with outside audit organizations such as External Quality Review Organizations (EQROs)
Experience with managed care and insurance industry
Experience in writing reports and analyzing performance data
Experience creating detailed reports and project management

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

audit supervisor jobs in pennsylvania

Clinical Quality Manager - Remote in Pennsylvania

Food Safety and Quality Control Manager

Nursing Supervisor

RN Supervisor Sign on Bonus up to $10,000

Quality Assurance Manager

Senior Manager, Assurance

Chemistry Department Manager

Temporary Laboratory Supervisor

Tax Manager - Senior Level

Manager of Credit and Accounts Receivable

RN Supervisor FT 2nd shift 10,000 sign on bonus

Finance Manager

Supervisor Ambulatory Clinical Operations LPN - Family Medicine Middleburg/Mifflinburg- Days

LPN Supervisor, Ambulatory Clinical Operations Hanover Family Medicine - Days

LPN Supervisor-Ambulatory Clinical Operations - Family Medicine East Berlin and Littlestown - Days

RN Hospice Team Manager

LPN Supervisor, Ambulatory Clinical Operations - Internal Medicine Adams Health Center - Days

AP Manager

Environmental Health and Safety Manager

Manufacturing Quality Manager

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