Medical Claims Review Manager jobs in San Diego, 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

170 Medical Claims Review Manager jobs found in San Diego, CA area

Acquisition Specialist
  • Odyssey Systems
  • San Diego, CA
  • ... and medical liability insurance or Federal Tort Claims Act recommendations, use of foreign ... review board recommendations, plan of action & milestones preparation, and bona fide needs ...
  • 10 hours ago

Travel Nurse RN - OR - Operating Room - $1,918 per week
  • NurseFly Travel Nursing
  • San Diego, CA
  • ... to the manager for review.No RTO the first two weeks of an assignment. Amount of RTO: please, no ... As a medical staffing agency that fosters long relationships with their employees, we're determined ...
  • yesterday

LVN/RN Utilization Review Nurse
  • San Diego, CA
  • Daily onsite patient visits, reviewing of all medical records, admission review * Discharge ... , ER, med-surg) or related health care experience. 1 year managed care experience Specific ...
  • yesterday

Mortgage Underwriter and Processing Manager
  • JobTracks, Inc.
  • Rancho Santa Fe, CA
  • Reviews all data presented on applications to determine purpose, current financial status ... Vacation * Medical/Dental/Vision * 401K * Additional Company benefits potentially available ...
  • yesterday

Quality Control / Quality Assurance Specialist
  • Johnson Controls
  • San Diego, CA
  • Balboa Naval Medical Center (military experience not required) Benefits: Eligible for health and ... review of design, installation and documentation to ensure that the design and customer ...
  • 2 days ago

Concurrent Review Case Manager Nurse
  • TotalMed Professional
  • San Diego, CA
  • Reviews SNF cases with UM Manager as needed to resolve complex discharge issues and barriers as ... Analyzes medical cases for appropriateness and plans and coordinates all phases of care in ...
  • 2 days ago

Regulatory Affairs Manager
  • HireResources (WO New)
  • San Diego, CA
  • ... distribution) · Review and approve labeling and promotional materials · Manage regulatory ... the medical device and/or pharmaceutical industries · Deep knowledge and understanding of ...
  • 2 days ago

Sr. Bioanalytical Scientist / Sr. Manager
  • CyberCoders
  • San Diego, CA
  • ... Review & interpret bioanalytical data / reports in support of nonclinical safety studies & clinical ... medical, dental, vision 401k and more)! So, if you are a Sr. Bioanalytical Scientist / Sr. Manager ...
  • 4 days ago

According to SDSU professor emeritus Monte Marshall, San Diego Bay is "the surface expression of a north-south-trending, nested graben". The Rose Canyon and Point Loma fault zones are part of the San Andreas Fault system. About 40 miles (64 km) east of the bay are the Laguna Mountains in the Peninsular Ranges, which are part of the backbone of the American continents. The city lies on approximately 200 deep canyons and hills separating its mesas, creating small pockets of natural open space scattered throughout the city and giving it a hilly geography. Traditionally, San Diegans have built the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$94,783 to $120,840
San Diego, California area prices
were up 2.6% from a year ago