Medical Claims Review Manager jobs in Charlotte, NC

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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Manager - Index Review
  • London Stock Exchange Group
  • Charlotte, NC FULL_TIME
  • Job Details

    This role sits within the FTSE Russell Operations team, supporting FTSE Russell Index and Benchmark Solutions within the London Stock Exchange Group (LSEG). The Index Review (IR) team has members in the Americas, EMEA and APAC regions, that conducts, implements. publishes & supports the periodic index reviews and rebalances in accordance with the relevant index methodology & ground rules. Please note that the working hours for this position can vary as the business needs require. This means that weekend work, extended hours, and market holiday coverage can and will be expected to meet critical business deadlines.

    FTSE Russell is a global index leader that provides innovative benchmarking, analytics and data solutions for investors worldwide. FTSE Russell calculates thousands of indexes that measure and benchmark markets and asset classes in more than 70 countries, covering 98% of the investable market globally. FTSE Russell index expertise and products are used extensively by institutional and retail investors globally. Approximately $17.9 trillion is currently benchmarked to FTSE Russell indexes. For over 30 years, leading asset owners, asset managers, ETF providers and investment banks have chosen FTSE Russell indexes to benchmark their investment performance and create ETFs, structured products and index-based derivatives.

    FTSE Russell is wholly owned by London Stock Exchange Group and has operational hubs in London, New York and Hong Kong; and offices in Tokyo, Sydney, San Francisco, Paris, Frankfurt, Madrid and Milan. Through its joint venture, it has a presence in Beijing and Shanghai.

    Role Purpose and responsibilities

    The role will require the individual to not only take responsibility to conduct, implement, sign-off the periodic index reviews and rebalances of the FTSE Russell indices but also ensure that there is a close working relationship with colleagues across regions to complete reviews within timely deadlines. This role will focus on complex Non-Market Cap index reviews and methodologies, including factor and sustainable investment indices. Key areas of responsibility will include:
    • Builds specialist knowledge in complex index methodologies including gauging levels of complexity, maintaining a comprehensive understanding of the intricate nature of how the market operates (e.g. cycles and terminology).
    • In accordance with the review schedule, conducts, and provides sign-off on the periodic rebalance of indices, conducting full analysis on the results to ensure the accuracy and quality of the changes of the review.
    • Analyses market behaviour to understand the root cause of changes to indices. Conducts full impact analysis, communicates, and escalates the impact on changes affecting, and caused by, to internal and external stakeholders, recommending index methodology changes where necessary.
    • Maintains the integrity and accuracy of indexes, and reviews data to ensure completeness, authenticity, accuracy, and timeliness.
    • Ensures policies, procedures, and people are all in place to support product launches.
    • Understands and appropriately applies index review policies, procedures and controls, challenging policies to ensure they are relevant based on real-world events and making recommendations to change these where necessary. Provides advice and guidance to internal stakeholders to prevent client impacting incident.
    • Supports continuous improvement to Index Management processes, frameworks and practices, staying abreast of and applying external best practices.
    • Sets out and enforces the governance framework and takes part in governance meetings.
    • Evaluates the feasibility of change initiatives, including liaising with internal and external stakeholders to understand their new and emerging needs and experience with LSEG indices and authorising and steering agreed change initiatives.
    • Works with SME's to build POC's and requirements for the development of model libraries and frameworks including calculation modules, and data analysis tools.
    • Supports the release processes for any future integration and testing processes to ensure code is seamlessly integrated within IT systems.
    • Participates as and when required in any projects or initiatives, supporting the on-boarding of new business into the team.
    • Communicates and articulates market and index rebalance changes to end clients.
    Requirements:
    • Experience in people management is required.
    • 3-4 years of experience in quantitative analysis in the financial industry, especially in Performance Measurement/Portfolio Analysis.
    • Undergraduate degree in finance, economics, or equivalent experience required.
    • MS or MBA in finance, financial engineering, economics, statistics, or other quantitative fields a plus.
    • CFA, CAIA designations (or participation in the programs) also a plus.
    • Extensive knowledge of performance measurement and portfolio analysis concepts.
    • Advanced level Excel proficiency as well as experience with a structured programming language such as VBA or SQL.
    • Excellent organizational skills and attention to detail with the ability to prioritize effectively, handle multiple projects under tight deadlines, identify/flag/resolve potential issues early on.
    • Strong problem-solving skills; integrity and responsibility.
    • Must also have the capacity to learn and understand FTSE Russell's business, existing software products and technologies available at FTSE Russell.
    • Written and verbal communications: Communicate effectively to audiences with differing levels of domain expertise (presentations, reports, external communications).
    LSEG is a leading global financial markets infrastructure and data provider. Our purpose is driving financial stability, empowering economies and enabling customers to create sustainable growth.

    Our purpose is the foundation on which our culture is built. Our values of Integrity, Partnership , Excellence and Change underpin our purpose and set the standard for everything we do, every day. They go to the heart of who we are and guide our decision making and everyday actions.

    Working with us means that you will be part of a dynamic organisation of 25,000 people across 65 countries. However, we will value your individuality and enable you to bring your true self to work so you can help enrich our diverse workforce. You will be part of a collaborative and creative culture where we encourage new ideas and are committed to sustainability across our global business. You will experience the critical role we have in helping to re-engineer the financial ecosystem to support and drive sustainable economic growth. Together, we are aiming to achieve this growth by accelerating the just transition to net zero, enabling growth of the green economy and creating inclusive economic opportunity.

    LSEG offers a range of tailored benefits and support, including healthcare, retirement planning, paid volunteering days and wellbeing initiatives.

    We are proud to be an equal opportunities employer. This means that we do not discriminate on the basis of anyone's race, religion, colour, national origin, gender, sexual orientation, gender identity, gender expression, age, marital status, veteran status, pregnancy or disability, or any other basis protected under applicable law. Conforming with applicable law, we can reasonably accommodate applicants' and employees' religious practices and beliefs, as well as mental health or physical disability needs.

    Please take a moment to read this privacy notice carefully, as it describes what personal information London Stock Exchange Group (LSEG) (we) may hold about you, what it's used for, and how it's obtained, your rights and how to contact us as a data subject .

    If you are submitting as a Recruitment Agency Partner, it is essential and your responsibility to ensure that candidates applying to LSEG are aware of this privacy notice.
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Claims Manager
  • The Cigna Group
  • Charlotte, NC OTHER,FULL_TIME
  • The job profile for this position is Claims Manager, which is a Band 4 Management Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help on...
  • 1 Month Ago

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Cleaner
  • Aware Manager
  • Charlotte, NC PART_TIME,FULL_TIME
  • CleanerWe are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition.ResponsibilitiesClea...
  • 23 Days Ago

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Program Manager
  • Viant Medical
  • Charlotte, NC FULL_TIME
  • Join a best in class Program Management team with a diverse portfolio of major medical device manufacturers! We’re seeking a team player who can motivate team members, inspire action, and collaborate ...
  • 17 Days Ago

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Grounds Keeper
  • ParkLand Ventures, Inc. (MHP Manager LLC)
  • Charlotte, NC FULL_TIME
  • Local multi-family property is seeking a candidate to join our team as a Full-Time Property Grounds Keeper. We are looking for exceptional candidates to learn and grow with our company. We take great ...
  • 28 Days Ago

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Video Review Specialist #Z
  • Velocitor Solutions
  • Charlotte, NC FULL_TIME
  • Position Objective: We are looking for self-motivated candidates to fill our Video Review Specialist position. This person will review videos from a proprietary system that generates from customers ve...
  • 18 Days Ago

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0 Medical Claims Review Manager jobs found in Charlotte, NC area

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Remote Licensed Professional Counselor
  • Headway
  • Charlotte, NC
  • 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
  • Charlotte, NC
  • 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 Psychologist
  • Headway
  • Charlotte, NC
  • 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
  • Charlotte, NC
  • 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 Marriage and Family Therapist
  • Headway
  • Charlotte, NC
  • 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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Medical Office Assistant
  • PEACEFUL AURA BEHAVIORAL HEALTH SERV
  • Charlotte, NC
  • Job Description Job Description We are looking for an Office Assistant (MA or CNA preferred) flexible to work both as a ...
  • 4/24/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Charlotte, NC
  • 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

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Remote Licensed Clinical Social Worker
  • Headway
  • Charlotte, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/22/2024 12:00:00 AM

Charlotte (/ˈʃɑːrlət/) is the most populous city in the U.S. state of North Carolina. Located in the Piedmont, it is the county seat of Mecklenburg County. In 2017, the U.S. Census Bureau estimated the population was 859,035, making it the 17th-most populous city in the United States. The Charlotte metropolitan area's population ranks 22nd in the U.S., and had a 2016 population of 2,474,314. The Charlotte metropolitan area is part of a sixteen-county market region or combined statistical area with a 2016 census-estimated population of 2,632,249. Between 2004 and 2014, Charlotte was ranked as...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$94,645 to $120,673
Charlotte, North Carolina area prices
were up 1.5% 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