Medical Claims Review Manager jobs in Michigan

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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Program Manager - Healthcare/Disability Claims
  • Managed Medical Review Organization
  • Novi, MI FULL_TIME
  • We are looking for a RN with program management experience that is familiar with disability and/or healthcare claims/appeals, auto claims, workers comp claims, or other claims/appeals experience to lead a team of Registered Nurses and administrative claims processing staff.

    This is a full time position in Novi, MI.

    Applications are accepted online at: mmroinc.topgradingonline.com

    Job Type: Full-time

    Pay: $85,000.00 - $92,000.00 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Experience level:

    • 5 years

    Schedule:

    • 8 hour shift

    Ability to Relocate:

    • Novi, MI 48377: Relocate before starting work (Required)

    Work Location: In person

  • 27 Days Ago

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RN Supervisor - Disability Claims - Office setting (No Patient Care)
  • Managed Medical Review Organization, Inc.
  • Novi, MI FULL_TIME
  • MMRO, Inc is searching for Supervisors to guide and oversee our Claims Processing staff and operations process for disability claims. Supervisors will oversee administrative claims processing staff (i...
  • 27 Days Ago

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Utilization Review Nurse
  • Theoria Medical
  • Novi, MI FULL_TIME
  • Utilization Review Nurse Company Overview Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute...
  • Just Posted

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Medical Review Nurse
  • Vital Signs
  • Lansing, MI FULL_TIME
  • 100% Remote, Work-From-Home position anywhere in the US. (Any state RN license is accepted). As an RN, you will provide direction, guidance, and support to our physician Medical Claims Reviewers as we...
  • Just Posted

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Medical Claims
  • Maximus Federal
  • Brimley, MI FULL_TIME
  • Veterans Evaluation Services is seeking qualified physicians, nurse practitioners or physician assistants to join our provider network as an independent contractor to perform general medical disabilit...
  • Just Posted

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Claims Processor
  • Sheldon Medical Supply
  • Sandusky, MI FULL_TIME
  • In search of Medical Billing Specialist. Experience should include: excellent telephone etiquette, computer skills, and Insurance knowledge . Looking for someone organized with good time management. R...
  • 24 Days Ago

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Orem, UT
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Fairfield, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Folsom, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Saratoga Springs, NY
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Medical Lead - Oncology, Medical Affairs
  • SEC Life Sciences
  • One of the world's leading pharmaceutical companies is seeking four passionate, forward-thinking individuals for key rol...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco
  • Menifee, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/27/2024 12:00:00 AM

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Executive Director, Head of Medical Affairs, Immunology
  • RBW Consulting
  • Philadelphia, PA
  • A major international pharma business is looking to expands its immunology pipeline and requires a dynamic and forward t...
  • 3/25/2024 12:00:00 AM

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Head of Medical Writing
  • Morgan Prestwich - Life Science & Healthcare Executive Search
  • Company Overview Morgan Prestwich is thrilled to be representing our client on an exclusive basis. Our client is a clini...
  • 3/24/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$96,552 to $123,105

Medical Claims Review Manager in Parkersburg, WV
This end-to-end e-billing and e-payment solution is fully integrated with DecisionPoint, which means it can be immediately and easily integrated with your providers, adjusters, IT infrastructure, and claims workflow—enabling you to.
January 01, 2020
Medical Claims Review Manager in Juneau, AK
Examples include a claims examiner’s view of a particular bill’s status in a claim record’s related bill screen, or a bill review analyst’s view of an available reserve amount for the claim record related to the bill they are processing.
December 03, 2019
Medical Claims Review Manager in Galveston, TX
Assists the Manager, Medical Review with performing duties to oversee day-to-day activities within the Medical Claims Review Department to facilitate the achievement of business goals and targets.
December 16, 2019