Medical Claims Review Manager jobs in Santa Clara, 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)

1082 Medical Claims Review Manager jobs found in Santa Clara, CA area

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Revenue Accounting Manager
  • PINPOINT TALENT | Direct Hire Recruitment Firm
  • San Jose, CA
  • Competitive Medical, Dental, and Vision * 5-20% target bonus * Tuition, Gym, and Cell phone ... Analyze and review all complex revenue issues including multiple element arrangements (i.e ...
  • 2 days ago

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Medical Office Manager
  • OPTION 1 STAFFING SERVICES, INC. AN AWARD WINNING AGENCY
  • San Jose, CA
  • Medical Office Manager San Jose, CA Option 1 Staffing is an award winning, local recognized leader ... This position coordinates systems and procedures with medical records, data entry, claims review ...
  • 3 days ago

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Travel Case Management (Utilization Review) RN (Registered Nurse) in Sunnyvale, CA
  • Medical Solutions
  • Sunnyvale, CA
  • ... Manager for Home Health! Candidates must have at 2 years of experience to be considered. This contract is for day shifts for 13 weeks starting asap! For more information about this need, call Medical ...
  • 4 days ago

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Travel Case Management (Utilization Review) RN (Registered Nurse) in San Jose, CA
  • Medical Solutions
  • San Jose, CA
  • San Jose area hospital is in need of a Case Manager for a 4 week Emergent Rate 60 hour per week travel contract. Candidates must hold a CA RN license, 1-2 years of experience working as a Case ...
  • 4 days ago

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Medical Social Worker II - Grade 10
  • Kaiser
  • Sunol, CA
  • Under general direction of the Social Work Manager/LCSW, delivers age-appropriate social work care ... plans. - Takes, reviews, evaluates & prioritizes written & oral referrals. - Maintains ...
  • 4 days ago

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Manager Psychiatry Triage and Crisis
  • Kaiser
  • San Carlos, CA
  • ... reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to ... assessing medical necessity and patient acuity. - Must have excellent people skills with the ...
  • 4 days ago

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Manager Psychiatry Triage and Crisis
  • Kaiser
  • Saratoga, CA
  • Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time ... assessing medical necessity and patient acuity. - Must have excellent people skills with the ...
  • 4 days ago

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Medical Manager
  • Sunrise Systems Inc
  • Foster City, CA
  • Associate Manager Medical Information - I Duration:12 months' Contract with potential to extend ... Critically reviewing, editing, and/or writing scientific documents such reimbursement dossiers ...
  • 7 days ago

Santa Clara is drained by three seasonal creeks, all of which empty into the southern portion of San Francisco Bay; these creeks are San Tomas Aquino Creek, Saratoga Creek, and Calabazas Creek. There are some significant biological resources within the city including habitat for the burrowing owl, a species of special concern in California due to reduction in habitat from urban development during the latter 20th century. This owl uses burrows created by ground squirrels and prefers generally level grasslands and even disturbed areas. According to the United States Census Bureau, the city cover...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$110,029 to $140,287
Santa Clara, California area prices
were up 2.9% from a year ago