Medical Claims Review Manager jobs in Anaheim, CA

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)

225 Medical Claims Review Manager jobs found in Anaheim, CA area

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Medical Data Entry Clerk (Claims/Managed Care Experience Required)
  • MediQuest Staffing
  • Orange, CA
  • Medical Claims, CPT-4, HCPCS, and ICD-10 codes * Ability to type 40 WPM * High School Diploma Referral Bonus: * Not interested? Know someone? We can offer up to a $500 referral bonus for anyone that ...
  • yesterday

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Medical Case Manager RN
  • Wollborg Michelson Recruiting
  • Fullerton, CA
  • ... review / utilization management practices and procedures desired. * Extensive knowledge of medical and pharmaceutical terminology. * Computer proficiency with basic claims system and Microsoft Office ...
  • 2 days ago

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Utilization Management LVN - Non Patient Facing
  • Wollborg Michelson Recruiting
  • Monterey Park, CA
  • ... medical necessity, coding accuracy and criteria guideline compliance. * Clinical judgment and ... Ensures proper procedure and diagnosis codes is reviewed for submitted procedures/claims
  • 3 days ago

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Adecco - Enterprise Onsite Safety Manager -- Irvine, CA
  • Adecco
  • Irvine, CA
  • Advanced ability to identify complex problems, review related information and develop and implement ... Knowledge of basic medical terms and claims management for workers' compensation. * Proficient with ...
  • 3 days ago

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HR Manager - Medical Device/Pharma background
  • Lori Singer
  • Irvine, CA
  • Administers employee performance review program * Plans and directs company sponsored events ... Pharmaceutical or Medical Device background a huge plus * Ability to multi-task Immediate direct ...
  • 4 days ago

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DOFR CONFIGURATION SPECIALIST
  • Network Medical Management
  • Alhambra, CA
  • SUMMARY The position will review, interpret and manage all Health Plan and IPA's Division of ... The purpose of this role is to support the accurate risk assignment & payment of claims. Develop ...
  • 4 days ago

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Health System Diabetes Educator Manager - Southern California
  • Novo Nordisk Inc.
  • Los Angeles, CA
  • ... Medical, and home office personnel to coach their teams and align education pull-through and ... reviewing and auditing expense reports Ensure timely and accurate submission of admin
  • 4 days ago

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TERMS AND CONDITIONS SPECIALIST
  • Network Medical Management
  • Alhambra, CA
  • ... claims processing, credentialing, contracting or utilization management experience required. * 3+ ... medical groups.
  • 7 days ago

Anaheim (/ˈænəhaɪm/) is a city in Orange County, California, part of the Los Angeles metropolitan area. As of the 2010 United States Census, the city had a population of 336,265, making it the most populous city in Orange County and the 10th-most populous city in California. Anaheim is the second-largest city in Orange County in terms of land area, and is known for being the home of the Disneyland Resort, the Anaheim Convention Center, and two major sports teams: the Anaheim Ducks ice hockey club and the Los Angeles Angels baseball team. Anaheim was founded by fifty German families in 1857 and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$97,974 to $124,917
Anaheim, California area prices
were up 3.2% from a year ago