Medical Claims Review Manager jobs in Olive Branch, MS

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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System Manager-Utilization Review - HS Case Mgmt Administration Corporate
  • Baptist
  • Memphis, TN FULL_TIME
  • Summary

    Responsibilities

    Requirements, Preferences and Experience

    About Baptist Memorial Health Care

    At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

    At Baptist, We Offer:
    • Competitive salaries
    • Paid vacation/time off
    • Continuing education opportunities
    • Generous retirement plan
    • Health insurance, including dental and vision
    • Sick leave
    • Service awards
    • Free parking
    • Short-term disability
    • Life insurance
    • Health care and dependent care spending accounts
    • Education assistance/continuing education
    • Employee referral program

    Job Summary:
    Position: 18373 - System Manager-Utilization Review
    Facility: BMHCC Corporate Office
    Department: HS Case Mgmt Administration Corporate
    Category: Leadership & Administration
    Type: Non Clinical
    Work Type: Full Time
    Work Schedule: Days
    Location: US:TN:Memphis
    Located in the Memphis metro area
  • 16 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Finley, TN FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 4 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Beech Grove, AR FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 5 Days Ago

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Manager - Core Lab
  • MASC Medical
  • Memphis, TN FULL_TIME
  • Manager - Core LabMemphis, TennesseeManages and coordinates laboratory activities across all practice sites to ensure test procedures, services and clinical information are in compliance with organiza...
  • 8 Days Ago

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Director - Utilization Review / Mgmt
  • UHS
  • MEMPHIS, TN FULL_TIME
  • Responsibilities Lakeside Behavioral Health System provides an excellent opportunity for those seeking to be part of a team-oriented and compassionate organization. Our staff tell us that our team is ...
  • 17 Days Ago

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DIR - UTILIZATION REVIEW / MGMT
  • Universal Health Services, Inc.
  • Memphis, TN FULL_TIME
  • Responsibilities Come join our team and love what you do! We are currently hiring a full time Director of Utilization Management (UM) for Compass Intervention Center! The UM Director is responsible fo...
  • 30 Days Ago

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0 Medical Claims Review Manager jobs found in Olive Branch, MS area

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Psychiatric Mental Health Nurse Practitioner
  • The National Coalition Of Healthcare Recruiters
  • Olive Branch, MS
  • (Only QUALIFIED Healthcare Professionals accepted) Psychiatry/Mental Health-NP - Adult Psychiatric Mental Health Nurse P...
  • 4/28/2024 12:00:00 AM

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State Medical Director - Tennessee (MD/DO)
  • Groups Recover Together
  • Memphis, TN
  • State Medical Director - Tennessee (MD/DO)Location : Name LinkedTennessee - RemoteID2024-5940Job LocationsUS-TN-Remote |...
  • 4/28/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Cordova, TN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/28/2024 12:00:00 AM

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Telemedicine Psychiatric Nurse Practitioner(Spanish Speaking) - California License
  • Vivo Healthstaff
  • Memphis, TN
  • Job Description Job Description Vivo HealthStaff is hiring a Telemedicine Psychiatric Nurse Practitioner with active lic...
  • 4/28/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Memphis, TN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/28/2024 12:00:00 AM

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Counselor-Genetic Associate - Days - BCC BCI Genetics Baptist Cancer
  • Baptist Memorial
  • Memphis, TN
  • Summary Provides genetic counseling for all participating entities. Responsibilities include but are not limited to prov...
  • 4/26/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Memphis, TN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Cordova, TN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

Olive Branch is a city in DeSoto County, Mississippi, United States. The population was 33,484 at the 2010 census, up from 21,054 in 2000. Olive Branch is part of the Memphis Metropolitan Statistical Area, a region that consists of three counties in southwest Tennessee, five counties in northwest Mississippi, and two counties in eastern Arkansas. From 1990 to 2010 Olive Branch was the fastest growing city in the United States, with a growth rate of 838%.[dubious – discuss] Along with other rapidly growing suburbs in DeSoto County, Olive Branch attributes most of its growth and development to ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$91,035 to $116,070
Olive Branch, Mississippi area prices
were up 1.3% 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