Medical Claims Review Manager jobs in Boston, MA

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)

V
Account Executive, Outside Sales
  • Veritas Medical Evaluation & Review
  • Winchester, MA FULL_TIME
  • Veritas Medical Evaluation & Review is growing and we are looking for motivated, confident, detail-oriented professionals.
    If you are interested in entering the medical record review and independent medical evaluation (IME) field, or currently work within our field and want a new challenge and growth, we encourage you to send us your resumé/C.V. and contact details via the form

    Veritas Medical Evaluation and Review Inc. is looking for a confident, energetic and creative individual to:


    1. Manage existing customers in current accounts, while expanding sales within those accounts.


    2. Expand sales to new accounts in the New England region.


    3. Travel frequently to client visits and sales calls for presentations.


    4. Initiate and maintain relationships.


    The ideal candidate must possess excellent communication skills, must be determined to succeed and can work well in a team environment. The ideal candidate should have good computer skills. All Account Executives/Outside Sales will have full support and use of social media, conferences, trade shows, etc. An understanding of insurance claims, healthcare and/or litigation management would be a positive but not required. We would prefer a candidate be a college graduate with one-year of work experience.


    Veritas Medical Evaluation and Review was established in 2017 focusing on the Insurance Claims/second opinion space. Our management team has 25 plus years of experience and a highly successful track record in this arena. Our client base ranges from insurance company claims people, lawyers, self-insured adjusters, private and public entities. We offer the finest second opinion service in the industry. We have the absolute best medical providers on our medical panel. Our company works in a HIPAA compliant environment with state of the art computer systems.


    This is a truly exciting opportunity to bring your talents to Veritas, where you will join a team of quality driven people at an early stage in our organizations development. If chosen, you will be an important part of the future. Come see if you are the right fit for our team.


    The position offers salary, bonus and benefits.


    Job Types: Full-time, Commission


    Salary: $35,000.00 to $100,000.00 /year


    To apply, please fill out the form

    Thank you!

  • 18 Days Ago

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Associate Director, Medical Review Physician
  • Moderna
  • Cambridge, MA FULL_TIME
  • The Role:The Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna’s product portfolio from ...
  • 25 Days Ago

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Program Manager
  • Institute for Clinical and Economic Review
  • Boston, MA FULL_TIME
  • The Institute for Clinical and Economic Review (ICER) is an innovative, independent non-profit healthcare research organization dedicated to sustainable access to high value care for all patients. Amo...
  • 29 Days Ago

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Medical Claims Representative
  • Robert Half
  • Novi, MI PER_DIEM
  • Job Summary The Claims Liaison (CL) has responsibility for the oversight of all aspects of operational support for the Disability Management Services disability claim review process, including any adm...
  • 3 Days Ago

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MA - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Boston, MA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 1 Month Ago

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Medical Oncology Remote Chart Review Physicians
  • Max Populi, LLC
  • Boston, MA FULL_TIME
  • 100% Remote opportunity to conduct utilization management - chart reviews for a brand name specialty benefits company. We are seeking several physicians with a board certification in Medical Oncology/...
  • 21 Days Ago

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0 Medical Claims Review Manager jobs found in Boston, MA area

A
Head of Medical Writing
  • Aerovate Therapeutics Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/26/2024 12:00:00 AM

A
Head of Medical Writing
  • Aerovate Therapeutics, Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Somerville, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM

H
Remote Licensed Marriage and Family Therapist
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM

Boston has an area of 89.63 square miles (232.1 km2)—48.4 square miles (125.4 km2) (54%) of land and 41.2 square miles (106.7 km2) (46%) of water. The city's official elevation, as measured at Logan International Airport, is 19 ft (5.8 m) above sea level. The highest point in Boston is Bellevue Hill at 330 feet (100 m) above sea level, and the lowest point is at sea level. Situated onshore of the Atlantic Ocean, Boston is the only state capital in the contiguous United States with an oceanic shoreline. Boston is surrounded by the "Greater Boston" region and is contiguously bordered by the citi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$109,378 to $139,459
Boston, Massachusetts area prices
were up 2.5% 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