Medical Claims Review Manager jobs in Lake Charles, LA
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)
Recently Added Medical Claims Review Manager jobs
- Up Manager - Worley Careers
-
Cameron, LA
FULL_TIME
-
Building on our past. Ready for the future
Worley is a global professional services company of energy, chemicals and resources experts headquartered in Australia.?
Right now, we’re bridging two worlds as we accelerate to more sustainable energy sources, while helping our customers provide the energy, chemicals and resources that society needs now.
We partner with our customers to deliver projects and create value over the life of their portfolio of assets. We solve complex problems by finding integrated data-centric solutions from the first stages of consulting and engineering to installation and commissioning, to the last stages of decommissioning and remediation. Join us and help drive innovation and sustainability in our projects.
Worley is seeking a dynamic and experienced Start-Up Manager to oversee the commissioning activities and execution plan for a large-scale LNG construction project. The ideal candidate will possess a blend of technical expertise, leadership skills, and a commitment to safety to ensure the successful start-up of the project. This role requires a motivated self-starter with a comprehensive understanding of gas processes, excellent communication abilities, and the capability to collaborate effectively with construction and operations teams.
BASIC FUNCTIONS
The Start-Up Manager will have full responsibility to direct and execute commissioning activities and execution plan for a large-scale LNG construction project, and for implementing Worley’s Safety Policies and Procedures throughout the commissioning phases of the project.
SPECIFIC DUTIES
Prepare Commissioning philosophy, schedule, and procedures during the project Detailed Design phase.
Conduct commissioning and start-up of all systems, ensuring adherence to project specifications.
Oversee day-to-day commissioning activities throughout all project phases.
Support system handover and acceptance from Construction Team to Operations Team.
Report to the Project Manager on commissioning issues, start-up schedule, and progress.
Interface with client management regarding commissioning and start-up.
Ensure cost-effective utilization of commissioning resources.
Define system priority handover list from Construction to Commissioning and from Commissioning to Operations.
Develop and maintain commissioning budget.
Develop and review commissioning test equipment and material take-offs.
Coordinate with vendors for specialized equipment and overall vendor coordination.
Prepare systems for final inspection and handover to Operations Team.
Assist in evaluation and selection of Commissioning Team staff members.
Proficiency in MS Office Applications (Word, Excel, Access, PowerPoint).
Perform other duties as assigned or requested.
#LI-JS4
QUALIFICATIONS
Motivated self-starter with complex problem-solving ability.
Excellent communication skills and team-oriented personality.
Detailed working knowledge of the LNG process and facilities including power generation and distribution, control and safety systems, gas separation, turbine driven gas compression, rotating equipment, utility support, and lifesaving systems.
Familiarity with construction and commissioning safety processes including Permit to Work, Lock-Out/Tag-Out, Company Safety Program, and safety audits.
EDUCATION AND CERTIFICATIONS
Degree in Engineering or relevant experience. Equivalent industry certifications and experience will be considered.
EXPERIENCE
Extensive experience in Oil & Gas Construction, Commissioning, Start-Up, and Operations, particularly Commissioning and Start-up experience of large capital projects.
Moving forward together
We want our people to be energized and empowered to drive sustainable impact. So, our focus is on a values-inspired culture that unlocks brilliance through belonging, connection and innovation.
We’re building a diverse, inclusive and respectful workplace. Creating a space where everyone feels they belong, can be themselves, and are heard.
And we're not just talking about it; we're doing it. We're reskilling our people, leveraging transferable skills, and supporting the transition of our workforce to become experts in today's low carbon energy infrastructure and technology.
Whatever your ambition, there’s a path for you here. And there’s no barrier to your potential career success. Join us to broaden your horizons, explore diverse opportunities, and be part of delivering sustainable change.
Additional Information - 30 Days Ago
- Product Review Jobs
-
Creole, LA
FULL_TIME
- Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
- 2 Days Ago
- Oceans Healthcare
-
DeRidder, LA
FULL_TIME
- The Utilization Review Coordinator is responsible for management of all utilization review and case management activities for the facility’s inpatient, partial hospitalization, and outpatient programs...
- 26 Days Ago
- Amerisafe
-
DeRidder, LA
OTHER
- Overview AMERISAFE is seeking a detail-oriented, productivity driven professional to add to our “Excellence Team” based in DeRidder, LA. The Medical Only Case Manager Trainee will develop necessary sk...
- 1 Month Ago
- Lake Charles Memorial Health System
-
Charles, LA
FULL_TIME
- DESCRIPTION OF POSITION: Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. The Claims Analyst maintains...
- 9 Days Ago
- Lake Charles Memorial Health System
-
Charles, LA
FULL_TIME
- DESCRIPTION OF POSITION: Claims Analyst analyzes and reviews insurance claims for accuracy and completeness to be submitted to the payer. Also maintains open communication with various departments wit...
- 1 Month Ago
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0 Medical Claims Review Manager jobs found in Lake Charles, LA area
- Christus Health
-
Lake Charles, LA
- Description Summary: Inpatient Acute Physical Rehab is the only facility in SWLA that is CARF accredited. Here nurses wo...
- 4/26/2024 12:00:00 AM
- Christus Health
-
Lake Charles, LA
- Description Summary: Nuclear Medicine Technologist is responsible for coordinating and performing diagnostic medical ima...
- 4/26/2024 12:00:00 AM
- Christus Health
-
Lake Charles, LA
- Description **$2500 Hiring Incentive for External Hires** Summary: All pharmacy technicians work under the direction of ...
- 4/26/2024 12:00:00 AM
- Christus Health
-
Lake Charles, LA
- Description Summary: The Patient Account Specialist Senior is responsible for the accurate and timely billing and collec...
- 4/26/2024 12:00:00 AM
- Christus Health
-
Lake Charles, LA
- Description Summary: The Patient Account Specialist Senior is responsible for the accurate and timely billing and collec...
- 4/26/2024 12:00:00 AM
- Benevis
-
Lake Charles, LA
- Overview: Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create ...
- 4/26/2024 12:00:00 AM
- Calcasieu Parish Police Jury, LA
-
Lake Charles, LA
- Salary: $22.47 Hourly Location : Lake Charles, LA Job Type: Full-Time Job Number: 2024-00068 Department: Office of Juven...
- 4/26/2024 12:00:00 AM
- Lifepoint Rehabilitation
-
Lake Charles, LA
- Description Facility Name: SH Sourthwest Louisiana Setting: LTACH FTE: Full TIme City/State: Lake Charles, LA Lifepoint ...
- 4/26/2024 12:00:00 AM
About Lake Charles, Louisiana
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