Medical Claims Review Manager jobs in Santa Clarita, 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)

405 Medical Claims Review Manager jobs found in Santa Clarita, CA area

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MD Psychiatrist Child REMOTE Utilization Review
  • Julia Edmunds Associates, Inc.
  • Los Angeles, CA
  • ... Review background. This position supports the clinical vision for the health plans and implements ... Provides clinical leadership to the interdisciplinary Medical Management team, which includes ...
  • 6 hours ago

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EXPERIENCED Private Medical Practice Office Manager
  • SKIN AND BEAUTY CENTER
  • Pasadena, CA
  • Seeking Experienced Medical Office Manager for a busy multi-location dermatology practice ... Reviews - Health/Dental - 401k - PTO and Paid Holidays Interviewing NOW. Please use the WorkPop ...
  • 9 hours ago

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Bodily Injury Claims Adjuster
  • James Grayem
  • Calabasas, CA
  • ... managing the settlement and pre-litigation of complex, high-value claim files. This candidate will ... Review and analyze information including coverage, liability, medical records and other documents ...
  • yesterday

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EXPERIENCED Private Medical Practice Office Manager
  • Skin and Beauty Center - West Hills
  • Los Angeles, CA
  • Seeking Experienced Medical Office Manager for a busy multi-location dermatology practice ... Reviews - Health/Dental - 401k - PTO and Paid Holidays Interviewing NOW. Please use the WorkPop ...
  • yesterday

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Client Services Manager
  • ITS
  • Simi Valley, CA
  • ... medical, dental and vision care, and a 401k with employee contribution matching. If you love to ... Reviews orders, workflow, and schedules to maintain company interval standards to assure proper and ...
  • yesterday

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Medical Records Technician
  • Episource LLC
  • Burbank, CA
  • ... managed care plans improve and support accurate reimbursement in a post-Affordable Care Act market. Our services include retrospective chart reviews, medical record retrieval, HEDIS/ACO quality ...
  • 3 days ago

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Senior General Manager
  • CyberCoders
  • Castaic, CA
  • Medical, Dental, Vision - 401k company match - Generous Vacation/PTO What You Will Be Doing You ... Review of project progress against plans, redirecting resources as needed. - Interaction with ...
  • 4 days ago

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Medical Coding Specialist
  • KNA HOME HEALTH, INC
  • Los Angeles, CA
  • Review medical patient charts * Review claims and diagnosis/procedure coding * Assign ICD-10-CM codes * Stay current with compliance regulations and rules * Complete assignments accurately and timely
  • 5 days ago

Santa Clarita, according to the United States Census Bureau, has an area of 62.16 square miles (161.0 km2), of which 62.10 square miles (160.8 km2) is land and 0.06 square miles (0.16 km2) (0.099%) is water. Santa Clarita is near the San Fernando fault zone and was affected by the 1971 San Fernando earthquake, also known as the Sylmar quake. The city was also affected by the 1994 Northridge earthquake, and many commercial and residential buildings were devastated by its aftermath, including the nearby Newhall Pass, the Valencia Town Center, and Six Flags Magic Mountain. Magic Mountain's 38-st...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$97,913 to $124,831
Santa Clarita, California area prices
were up 3.2% from a year ago