Medical Claims Review Manager jobs in Delaware

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 2024 Salary.com)

5
Medical Science Liaison - GI
  • 50201106 - Oncology Medical Liaison Manager
  • Wilmington, DE FULL_TIME
  • Location: SC, NC, TN, VA, USA

    Do you have expertise in, and passion for Medical Affairs in Oncology? AstraZeneca’s vision in Oncology is to help patients by redefining the cancer-treatment paradigm with the bold ambition to eliminate cancer as a cause of death. We are proud to work on ground breaking science with one of the broadest and deepest Oncology pipelines in the business. Help to advance our pipeline by applying expertise and accelerating our pathway to finding a cure.

    We are seeking a Medical Science Liaison (MSL) to join us in our GI division! This role serves as the local medical voice of AZ in the disease area of interest and builds a local medical strategy to improve patient care and outcomes in their territory. The MSL is an established field-based professional with extensive scientific, clinical and therapeutic area expertise responsible for providing medical and scientific support for AstraZeneca's oncology marketed products, new indications for current products, and compounds in development.

    ***Territory is SC, NC, TN, southern VA ***

    What you’ll do

    • Act as the local medical leader responsible for developing a tailored strategy to meet the AZ USMA priorities in the disease area, as well as the local specificities and patient needs.
    • Develop strong working relationships in different external business settings (e.g. academia, hospitals, managed markets, private practices)
    • Lead scientific exchanges with oncologists and key members of the MDT
    • Lead peer to peer scientific/medical interactions
    • Gather insights on the treatment landscape, evolving healthcare environment and practice, barrier to optimal treatment and patient care or opportunities to improve outcomes of patients with cancer
    • Discuss with KOLs data and educational gaps to ensure adequate use of our medicines and to inform our R&D strategy to address patient needs
    • Stay current with scientific knowledge and attend relevant scientific meetings and conferences.
    • Collaborate with Clin ops on Ph3 trials from feasibility to execution of trials

    Minimum Qualifications

    • Advanced degree required
    • 2 years of MSL experience or relevant therapeutic area experience
    • Demonstrated expertise in discussing scientific content and context to multiple audiences
    • Strong understanding of clinical study design and protocols
    • Basic understanding of the Healthcare system, clinical trial methodology, statistics and regulatory environment
    • Excellent project management ability
    • Ability to travel (40-60% by car and plane domestic)

    Preferred Qualifications

    • Doctorate strongly preferred in a health science or clinical field
    • Advanced degree (i.e. Pharm D, MD/DO, PhD, PA or NP) in a relevant health science or clinical subject area

    Why AstraZeneca?

    At AstraZeneca when we see an opportunity for change, we seize it and make it happen, because any opportunity no matter how small, can be the start of something big. Delivering life-changing medicines is about being entrepreneurial - finding those moments and recognizing their potential. Join us on our journey of building a new kind of organization to reset expectations of what a bio-pharmaceutical company can be. This means we’re opening new ways to work, pioneering ground breaking methods, and bringing unexpected teams together. Interested? Come and join our journey.

    Are you ready to bring new insights and fresh thinking to the table? Brilliant! We have one seat available, and we hope it’s yours. Apply today.

    AstraZeneca embraces diversity and equality of opportunity. We are committed to building an inclusive and diverse team representing all backgrounds, with as wide a range of perspectives as possible, and harnessing industry-leading skills. We believe that the more inclusive we are, the better our work will be. We welcome and consider applications to join our team from all qualified candidates, regardless of their characteristics. We comply with all applicable laws and regulations on non-discrimination in employment (and recruitment), as well as work authorization and employment eligibility verification requirements.

  • 3 Days Ago

5
Medical Science Liaison, MA, RI - GI
  • 50201106 - Oncology Medical Liaison Manager
  • Wilmington, DE FULL_TIME
  • Location: MA, RI, USADo you have expertise in, and passion for Medical Affairs in Oncology? AstraZeneca’s vision in Oncology is to help patients by redefining the cancer-treatment paradigm with the bo...
  • 3 Days Ago

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Claims Analyst
  • Delaware Claims
  • Wilmington, DE FULL_TIME
  • Recent and Upcoming College Graduates are encouraged to apply, no experience needed. No sales or phone work required. Delaware Claims Processing Facility has openings in its downtown Wilmington, DE lo...
  • 20 Days Ago

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SVP Process Review Manager
  • Citi
  • WILMINGTON, DE OTHER
  • The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand...
  • Just Posted

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Claims Manager
  • Sanford Federal, Inc.
  • Columbia, DE FULL_TIME,PART_TIME
  • About Us SANFORD headquartered in Stafford, VA., is a Service-Disabled VeteranOwned Small Business that provides federal professional services, primarily engaged in providing advanced information tech...
  • 19 Days Ago

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DE - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Delaware, DE PART_TIME,CONTRACTOR
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 1 Month Ago

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Head of Medical Writing
  • Aerovate Therapeutics, Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/25/2024 12:00:00 AM

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Assistant-Certified Medical Lead
  • Baptist Memorial
  • Memphis, TN
  • Summary Provides personal care assistance to patients under the direction of licensed personnel and /or Administrator. P...
  • 4/25/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco
  • Baldwin, NY
  • Create a healthier, brighter future for pets, pet parents and people!If you want to make a real difference, create an ex...
  • 4/23/2024 12:00:00 AM

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Head of Medical Writing
  • Aerovate Therapeutics Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/21/2024 12:00:00 AM

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Veterinarian - Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Montclair, NJ
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/21/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow, Inc
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

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US Pneumococcal Adult Medical Lead, MD
  • Pfizer
  • New York, NY
  • ROLE SUMMARY Provide pneumococcal franchise leadership on behalf of Asset Medical Affairs team. * Collaborates with Bran...
  • 4/21/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$99,035 to $126,272

Medical Claims Review Manager in Parkersburg, WV
This end-to-end e-billing and e-payment solution is fully integrated with DecisionPoint, which means it can be immediately and easily integrated with your providers, adjusters, IT infrastructure, and claims workflow—enabling you to.
January 01, 2020
Medical Claims Review Manager in Juneau, AK
Examples include a claims examiner’s view of a particular bill’s status in a claim record’s related bill screen, or a bill review analyst’s view of an available reserve amount for the claim record related to the bill they are processing.
December 03, 2019
Medical Claims Review Manager in Galveston, TX
Assists the Manager, Medical Review with performing duties to oversee day-to-day activities within the Medical Claims Review Department to facilitate the achievement of business goals and targets.
December 16, 2019