Medical Claims Review Manager jobs in Jonesboro, AR

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 2024 Salary.com)

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System Manager-Utilization Review - HS Case Mgmt Administration Corporate
  • Baptist
  • Memphis, TN FULL_TIME
  • Summary

    Responsibilities

    Requirements, Preferences and Experience

    About Baptist Memorial Health Care

    At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

    At Baptist, We Offer:
    • Competitive salaries
    • Paid vacation/time off
    • Continuing education opportunities
    • Generous retirement plan
    • Health insurance, including dental and vision
    • Sick leave
    • Service awards
    • Free parking
    • Short-term disability
    • Life insurance
    • Health care and dependent care spending accounts
    • Education assistance/continuing education
    • Employee referral program

    Job Summary:
    Position: 18373 - System Manager-Utilization Review
    Facility: BMHCC Corporate Office
    Department: HS Case Mgmt Administration Corporate
    Category: Leadership & Administration
    Type: Non Clinical
    Work Type: Full Time
    Work Schedule: Days
    Location: US:TN:Memphis
    Located in the Memphis metro area
  • 12 Days Ago

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Director - Utilization Review / Mgmt
  • UHS
  • MEMPHIS, TN FULL_TIME
  • Responsibilities Lakeside Behavioral Health System provides an excellent opportunity for those seeking to be part of a team-oriented and compassionate organization. Our staff tell us that our team is ...
  • 13 Days Ago

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DIR - UTILIZATION REVIEW / MGMT
  • Universal Health Services, Inc.
  • Memphis, TN FULL_TIME
  • Responsibilities Come join our team and love what you do! We are currently hiring a full time Director of Utilization Management (UM) for Compass Intervention Center! The UM Director is responsible fo...
  • 26 Days Ago

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Utilization Review Specialist
  • Delta Specialty Hospital
  • Memphis, TN FULL_TIME
  • ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance plans ...
  • 1 Month Ago

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DIR - UTILIZATION REVIEW / MGMT
  • UHS
  • MEMPHIS, TN FULL_TIME
  • Responsibilities Come join our team and love what you do! We are currently hiring a full time Director of Utilization Management (UM) for Compass Intervention Center! The UM Director is responsible fo...
  • 1 Month Ago

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Manager - Core Lab
  • MASC Medical
  • Memphis, TN FULL_TIME
  • Manager - Core LabMemphis, TennesseeManages and coordinates laboratory activities across all practice sites to ensure test procedures, services and clinical information are in compliance with organiza...
  • 4 Days Ago

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0 Medical Claims Review Manager jobs found in Jonesboro, AR area

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Remote Licensed Clinical Social Worker
  • Hiring Now!
  • Jonesboro, AR
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker l...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Jonesboro, AR
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $95-$122 an hour Are you a Licensed Marriage and Fami...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Hiring Now!
  • Jonesboro, AR
  • Remote Licensed Psychiatrist Wage: Between $130-$238 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Hiring Now!
  • Jonesboro, AR
  • Remote Licensed Clinical Psychologist Wage: Between $95-$174 an hour Are you a Licensed Clinical Psychologist looking to...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Hiring Now!
  • Jonesboro, AR
  • Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor lo...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Jonesboro, AR
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $95-$122 an hour Are you a Licensed Mental Health Counselor...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Jonesboro, AR
  • Remote Licensed Mental Health Therapist (LMHT) Wage: Between $95-$122 an hour Are you a Licensed Mental Health Therapist...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Hiring Now!
  • Jonesboro, AR
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $130-$203 an hour Are you a licensed Psychiatric Nurse look...
  • 4/21/2024 12:00:00 AM

Jonesboro is a city located on Crowley's Ridge in the northeastern corner of the U.S. State of Arkansas. Jonesboro is one of two county seats of Craighead County and the home of Arkansas State University. According to the 2010 Census, the city had a population of 71,551 and is the fifth-largest city in Arkansas. Jonesboro is the cultural and economic center of northeastern Arkansas. It is the principal city of the Jonesboro, Arkansas Metropolitan Statistical Area. In 2010, the Jonesboro metropolitan area had a population of 121,026 and a population of 163,116 in the Jonesboro-Paragould Combine...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$90,742 to $115,697
Jonesboro, Arkansas area prices
were up 1.3% from a year ago

Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020