Medical Claims Review Manager jobs in Metairie, LA

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)

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Property Litigation Supervisor
  • TheBest Claims Solutions
  • Orleans, LA FULL_TIME
  • Our client is looking for a Property Litigation Supervisor to work in their New Orleans office. This candidate will need to have experience with litigated property claims in the state of Louisiana.
    #INDH

    Required Qualifications

    • 5 years of supervising experience in homeowners property.
    • Responsible for supervising litigation process in all phases of high complex claims.
    • Reviews claims assigned to the staff and provides direction and ongoing guidance.
    • College Degree
    • LA Adjuster License

    Preferred Qualifications

    • CPCU, SCLA, or AIC a plus.

    Apply Now

    About TheBest Claims Solutions

    TheBest Claims Solutions is the leading provider of insurance jobs for Claims Adjusters concentrating in Workers’ Compensation, Property, Auto, Commercial Lines, Personal Lines and Catastrophe. TheBest Claims Solutions has been placing insurance professionals in direct hire, temporary and temp-to-hire opportunities with insurance carriers, self-insurance companies and third party administrators for nearly 2 decades and are adding new clients every day.

    Equal Opportunity Employer

    TheBest Claims Solutions is committed to creating a diverse environment and is proud to be an equal opportunity employer. Qualified applicants will be considered for employment without regard to race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws.
  • 11 Days Ago

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Utilization Review Intake Specialist
  • VirginPulse
  • Covington, LA FULL_TIME
  • Overview Now is the time to join us! Virgin Pulse and HealthComp are now Personify Health. The industry’s first personalized health platform company combines health, wellbeing, and navigation solution...
  • 10 Days Ago

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Utilization Review Intake Specialist
  • VirginPulse
  • Covington, LA FULL_TIME
  • Overview Now is the time to join us! Virgin Pulse and HealthComp are now Personify Health. The industry’s first personalized health platform company combines health, wellbeing, and navigation solution...
  • 10 Days Ago

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Utilization Review Nurse
  • AbsoluteCARE, Inc
  • Orleans, LA FULL_TIME
  • AbsoluteCare offers concierge health services using a risk-bearing, PCP-driven care model. We treat the most clinically complex and vulnerable members of the communities we serve, many of whom suffer ...
  • 13 Days Ago

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DIRECTOR - UTILIZATION REVIEW / MGMT
  • River Oaks Hospital
  • Harahan, LA FULL_TIME
  • Responsibilities: River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a ...
  • 1 Month Ago

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DIRECTOR - UTILIZATION REVIEW / MGMT
  • UHS
  • HARAHAN, LA FULL_TIME
  • Responsibilities River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a t...
  • 1 Month Ago

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0 Medical Claims Review Manager jobs found in Metairie, LA area

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Veterinary Cardiologist
  • Medvet
  • New Orleans, LA
  • DescriptionMedVet is seeking a Cardiologist (board-certified or residency trained) to join this very active specialty wi...
  • 4/28/2024 12:00:00 AM

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Licensed Mental Health Professionals - Telehealth Positions
  • Hco Behavioral Health
  • New Orleans, LA
  • Job Description Job Description Salary: $43-$60.00 hourlyLicensed Mental Health Professionals (Telehealth Positions)Comp...
  • 4/28/2024 12:00:00 AM

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Vice President of Operations
  • Ascension Depaul Services
  • New Orleans, LA
  • GENERAL JOB DESCRIPTION Ascension DePaul Services of New Orleans (DCSNO) affiliates with DCHC which manages multiple Fed...
  • 4/28/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Metairie, LA
  • Remote Licensed Professional Counselor (LPC) Wage: Between $90-$120 an hour Are you a Licensed Professional Counselor lo...
  • 4/28/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Hiring Now!
  • Metairie, LA
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $90-$120 an hour Are you a Licensed Mental Health Counselor...
  • 4/28/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Hiring Now!
  • Metairie, LA
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $90-$120 an hour Are you a Licensed Clinical Social Worker l...
  • 4/28/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Metairie, LA
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $90-$120 an hour Are you a Licensed Marriage and Fami...
  • 4/28/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Hiring Now!
  • Metairie, LA
  • Remote Licensed Psychiatrist Wage: Between $148-$238 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/25/2024 12:00:00 AM

Metairie (/ˈmɛtəri/ MET-ər-ee; French: Métairie [metɛʁi]) is a census-designated place (CDP) in Jefferson Parish, Louisiana, United States, and is part of the New Orleans metropolitan area. With a population at the 2010 census of 138,481, Metairie is the largest community in Jefferson Parish and the fifth-largest CDP in the United States. It is an unincorporated area that would be Louisiana's fourth-largest city if it were incorporated. The zip codes that serve the community are 70001–70006. Metairie is located in eastern Jefferson Parish and is bordered by New Orleans to the east, Kenner to t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$94,157 to $120,051
Metairie, Louisiana area prices
were up 1.2% from a year ago

Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020