Medical Claims Review Manager jobs in Orange, 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)

323 Medical Claims Review Manager jobs found in Orange, CA area

J
Sr Manager
  • Jobot
  • Irvine, CA
  • This individual will come from a Medical Device background and be well versed with ISO 10993 & ISO ... Review and interpret test results for biocompatibility studies Develop non-routine protocols ...
  • 2 days ago

I
Sr. Manager, Program Management and Solutions Architecture
  • IMRI Technology & Engineering Solutions
  • Aliso Viejo, CA
  • We offer competitive benefits including paid vacation and sick leave, medical, dental, vision, life ... Reviews. * Conduct technical evaluations for bid/no bid decisions of RFIs and other pre-bid ...
  • 2 days ago

C
HR Recruiter (Healthcare/Medical)
  • CONFIDENTIAL
  • San Dimas, CA
  • Performs detailed reference checking on all candidates and reviews results with hiring managers ... in the medical industry * Proficient in MS Office to include PowerPoint and Excel * Experience ...
  • 4 days ago

A
Collections Review
  • Ajilon
  • Costa Mesa, CA
  • Collections Ajilon is seeking a Contract-to-Hire Medical Review Specialist with 3 or more years of ... Effective time management * Strong multitasking skills Hours: Full Time - M-F Industry: Medical ...
  • 4 days ago

A
Claims Processor
  • Ajilon
  • Santa Ana, CA
  • Medical Claims Auditor This could be a perfect fit for you! This is a great opportunity to get your ... Review, evaluate, and audit claims * Make recommendations for resolution * Has contact with agents
  • 4 days ago

A
Claims Processor
  • Ajilon
  • Tustin, CA
  • Medical Claims Auditor This could be a perfect fit for you! This is a great opportunity to get your ... Review, evaluate, and audit claims * Make recommendations for resolution * Has contact with agents
  • 4 days ago

D
RN - Quality/Patient Safety Program Manager
  • Dignity Health - St Mary Medical Center - Long Beach
  • Long Beach, CA
  • ... medical staff improvement (e.g. peer review, OPPE, FPPE). Clinical performance improvement ... Experience - One (1) year healthcare-related quality management/performance improvement experience ...
  • 5 days ago

M
Medical Coder - Major Medi-Cal Plan - $22/hr-$27/hr (Not Remote)
  • MediQuest Staffing
  • Orange, CA
  • Create codes based on reviewing ICD-19, CPT, and HCPCS codes * Knowledge of Claims processes, CMS ... Our dedicated medical focus and expertise allow us to build collaborative partnerships with both ...
  • 6 days ago

Orange is a city located in Orange County, California. It is approximately 3 miles (4.8 kilometers) north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920. While many other cities in the region demolished such houses in the 1960s, Orange decided to preserve them. The small city of Villa Park is surrounded by the city of Orange. The population was 139,812 as of 2014. The city has a total area of 25.2 square miles (65 km2), 24.8 square miles (64 km2) of which is land and 0.4 square miles (1.0 km2) of which i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$97,755 to $124,637
Orange, California area prices
were up 3.0% from a year ago