Medical Claims Review Manager jobs in San Francisco, 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)

226 Medical Claims Review Manager jobs found in San Francisco, CA area

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Biomarker Project Manager
  • Joule Clinical (formerly Syneos Health Clinical Staffing)
  • San Francisco, CA
  • ... review & reconciliation) and performance management * Serves as primary point of contact for ... Life sciences degree (Bachelor or Masters) in Scientific, Medical or Healthcare subject area ...
  • 13 hours ago

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Claims Examiner
  • Yoh Services
  • San Leandro, CA
  • Medical Claims Processing experience * CPT, ICD-9 and ICD-10 Coding Skills What You'll Be Doing ... Provide support for coding and provider dispute review * Perform additional duties as required
  • yesterday

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Clinical Program Manager
  • East Bay Agency For Children (EBAC)
  • Oakland, CA
  • The Clinical Manager provides individual/group supervision of staff and interns, reviews, monitors ... Expertise with MediCal/EPSDT documentation preferred. * Skilled computer competency[SP1] and ...
  • yesterday

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Scientific Manager - Risk Evaluation
  • LeadStack
  • Foster City, CA
  • ... Medical Affairs, Legal, IT and external vendors * May be responsible for internal and cross ... Organizes preparation of moderately complex documents and/or procedures for review by the Global ...
  • yesterday

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Medical Science Liaison, CAR T
  • Bristol Myers Squibb Company
  • San Francisco, CA
  • ... management.Assist with scientific insight analysis efforts by reviewing and collating individual reports across the MSL and M
  • yesterday

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Branch Manager
  • Trench Plate Rental Co
  • San Leandro, CA
  • Review logistics and workflow for the branch, coordinating with other Traffic Solutions branches to ... Excellent medical, dental, vision discount plan 401(K) plan with company match Health Care flexible ...
  • 2 days ago

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Medical Writer/Sr Quality Review Specialist (REMOTE)
  • Netpace, Inc
  • Foster City, CA
  • ... senior management. * Is capable of using advanced functions of various software applications ... in a medical writing/clinical submissions environment preparing documents for regulatory ...
  • 2 days ago

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Resident Engineer/Project Manager
  • The Allen Group, LLC
  • Oakland, CA
  • Review, approve and process monthly contractor pay applications * Negotiate and settle change orders and claims * Manage closeout and turnover of projects QUALIFICATIONS: Interested candidates must ...
  • 3 days ago

San Francisco is located on the West Coast of the United States at the north end of the San Francisco Peninsula and includes significant stretches of the Pacific Ocean and San Francisco Bay within its boundaries. Several picturesque islands—Alcatraz, Treasure Island and the adjacent Yerba Buena Island, and small portions of Alameda Island, Red Rock Island, and Angel Island—are part of the city. Also included are the uninhabited Farallon Islands, 27 miles (43 km) offshore in the Pacific Ocean. The mainland within the city limits roughly forms a "seven-by-seven-mile square", a common local collo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$110,459 to $140,827
San Francisco, California area prices
were up 4.5% from a year ago