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)
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:
Experience level:
Schedule:
Ability to Relocate:
Work Location: In person