Medical Claims Review Manager jobs in the United States

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2020 Salary.com)

R
Clinical Science Manager, Medical Writing
  • Roche
  • Pleasanton, CA
  • Delegate work priorities, conduct performance reviews, coach and mentor the team, own thebudget ... medical documents, serve as the primary point of contact withoversight and management ...
  • 4 hours ago

A
Concurrent Review Nurse
  • A-Line Staffing Solutions
  • Sacramento, CA
  • Utilization Review, Utilization Management, Registered Nurse, Licensed Vocational Nurse, LPN, Licensed Practical Nurse, MCO, LVN, RN, Nurse, Managed Care, Medical Claims, Appeals, Mail Order ...
  • 20 hours ago

C
Environmental Services Manager II
  • CHI Franciscan St. Joseph Medical Center
  • Tacoma, WA
  • Reviews policies periodically to make improvements and increase operating efficiency. 20% Directs ... and managing the performance of the Environmental Services employees. Types of roles supervised ...
  • yesterday

B
HR Manager
  • Balance Staffing- Roseville
  • Medford, OR
  • Review weekly payroll. Manage administrative budget. Coordinate employee parties, recognition ... Remain on-call 24/7 in the event that an employee is injured and requires medical treatment. 5. ...
  • yesterday

R
Strategic Sourcing Manager - Full Time
  • Rush University Medical Center
  • Chicago, IL
  • Join Rush University Medical Center! We are seeking a dynamic Strategic Sourcing Manager with a ... Reviews and selects appropriate suppliers based on clinical input or industry awareness. Manages ...
  • 2 days ago

R
Manager, Provider Network Development - Rush Health
  • Rush University Medical Center
  • Chicago, IL
  • Our network includes Rush University Medical Center, Rush Oak Park Hospital, Rush Copley Medical ... Leads a CIN Network Development monthly committee that sets priorities, reviews network coverage ...
  • 2 days ago

C
Workers Compensation Claims Examiner - Remote
  • Canon Recruiting Group
  • Sacramento, CA
  • ... review. * Maintains professional client relationships. REQUIREMENTS: * Two to (4) years of claims ... Working knowledge of regulations, offsets and deductions, disability duration, medical management ...
  • 2 days ago

T
Registered Nurse Case Manager
  • TriStar Skyline Medical Center
  • Nashville, TN
  • At Skyline Medical Center, we offer an array of medical,dental, and vision packages as well as ... You will communicate with third party payers to review patients' care. * You will act as a liaison ...
  • 3 days ago

Income Estimation for Medical Claims Review Manager jobs
$88,315 to $112,596