Medical Claims Review Manager jobs in Simi Valley, 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)

141 Medical Claims Review Manager jobs found in Simi Valley, CA area

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Medical Biller/Coder and Collection Specialist
  • VALLEY RENAL MEDICAL GROUP
  • Los Angeles, CA
  • The medical biller is responsible for the timely submission of technical or professional medical ... Preparing, reviewing, and transmitting claims using billing software, including electronic and ...
  • yesterday

X
*URGENT NEEDS* RN NEW GRAD'S - COVID-19 Preparedness -Training nurses
  • Xpert Recruiters LLC
  • Los Angeles, CA
  • Sterilize and prepare medical tools and equipment * Assist in the transport of patients * Provide ... This position reports to Clinical Services Manager. Excellent verbal, writing and telephone skills
  • yesterday

X
*URGENT NEEDS* Critical Care - COVID-19 Preparedness *Increased Rates*
  • Xpert Recruiters LLC
  • Los Angeles, CA
  • Sterilize and prepare medical tools and equipment * Assist in the transport of patients * Provide ... This position reports to Clinical Services Manager. Excellent verbal, writing and telephone skills
  • yesterday

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Hospice Intake and Triage LVN
  • Westlake Villa Hospice
  • Thousand Oaks, CA
  • Collaborates with and works closely with the hospice RN Case Managers, hospice Medical Director ... Reviews medication list for accuracy * Advocates for patients * Effectively interacts with primary ...
  • 3 days ago

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Emergency Medical Technician EMT
  • Premier Ambulance
  • Los Angeles, CA
  • Attend available continuing educational seminars to improve management skills and recommend ... Reviews paperwork for accuracy and correct process. * Must participate in scheduled and unscheduled ...
  • 5 days ago

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Care Plan Nurses
  • Regal Medical Group
  • Los Angeles, CA
  • We are currently recruiting for Care Plan Case Managers, RN/LVN for our Northridge location. S ign ... HRA, medical record, claims, authorization history and other relevant clinical findings. 8. ...
  • 6 days ago

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Health Economics Manager
  • GPS Staffing
  • Thousand Oaks, CA
  • Assists in the development, creation, and review of the Global Value Dossier (GVD) and US AMCP ... Knowledge of epidemiology, economics, psychometrics and medical writing Education Required
  • 7 days ago

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Medical Informatics Analyst, Senior
  • Blue Shield of CA
  • Los Angeles, CA
  • Provides coordination and oversight of the peer review of analyses for accuracy and completeness ... Care (managed care, academic, or gov't payer) or equivalent experience. * Experience with Visual ...
  • 7 days ago

A
Medical Communications Manager
  • Amgen
  • Thousand Oaks, CA Full-Time
  • Amgen provides a collaborative and creative culture in a company with a strong track record of innovation. Our culture e...
  • 1 Day Ago
A
Global Medical Communications Manager - Inflammation
  • Amgen
  • Thousand Oaks, CA Full-Time
  • Amgen provides a collaborative and creative culture in a company with a strong track record of innovation. Our culture e...
  • 4 Days Ago
Simi Valley is a city located in the very southeast corner of Ventura County, bordering the San Fernando Valley in Los Angeles County, and is a part of the Greater Los Angeles Area. The City of Simi Valley basically consists of the eponymous valley itself. City of Simi Valley borders the Santa Susana Mountains to the north, the Simi Hills to the east and south, and is adjacent to Thousand Oaks to the southwest and Moorpark to the west. Simi Valley is connected to the nearby San Fernando Valley by the Santa Susana Pass in the extreme east of Simi Valley. Simi Valley is located at 34°16'16" Nort...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$95,744 to $122,074
Simi Valley, California area prices
were up 2.5% from a year ago