Medical Claims Review Manager jobs in Lancaster, PA

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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Security Manager - Lancaster Medical Center
  • Penn State Milton S. Hershey Medical Center
  • Lancaster, PA FULL_TIME
  • Penn State Health Corporation

    Location : US:PA:Lancaster
    Work Type : Full Time
    FTE : 1.00
    Shift : Day
    Hours : M-F 8:00a - 4:30p - Can vary dependent upon needs


    SUMMARY OF POSITION :

    This position is responsible for the management of the PSH Lancaster Medical Center campus security to provide for institutionally readiness for the protection of lives, well-being and property of the patients, visitors, staff and manage approximately 20 staff members. Develop, review and update policies and procedures, administrate an electronic records management system, and plan and develop new security strategies to better serve our campus needs such as implementing the visitor management software, badging policy & procedure changes, future state access control integration changes and any organizational project to serve the security needs of our PSH Lancaster community.

    MINIMUM QUALIFICATION(S):

    Bachelor Degree or equivalent experience (4 years).

    Ten (10) years of related experience required demonstrating an increasing level of responsibility and qualifications in healthcare security leadership or law enforcement leadership.

    Comprehensive understanding of Joint Commission requirements for healthcare security.

    PREFERRED QUALIFICATION(S):

    Knowledge of access control and surveillance systems preferred.

    Incident Command Systems 100, 200, 300, 700 and 800 certifications preferred.

    Possess the IAHSS Basic, Advanced and Supervisory certifications preferred.

    Previous security related supervisory experience preferred.


    If chosen for this position, you may required to pass a Post Offer Employment Physical Exam in accordance with the measurements listed in the Work Task Analysis (WTA) report. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

    Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, martial status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:30 AM and 4:30 PM, Eastern Standard Time, Monday through Friday, email hrsolutions@pennstatehealth.psu.edu or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.

  • 22 Days Ago

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Data Review Scientist
  • Eurofins USA BioPharma Services
  • Bausman, PA FULL_TIME
  • Job Description Determine if data is compliant and defendable based on industry regulations and methodology. Verify scientific data is of sound quality following all method, industry, and client requi...
  • 15 Days Ago

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Data Review Scientist
  • Eurofins USA BioPharma Services
  • Bausman, PA FULL_TIME
  • Job Description Determine if data is compliant and defendable based on industry regulations and methodology. Verify scientific data is of sound quality following all method, industry, and client requi...
  • 15 Days Ago

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Associate Data Review Scientist
  • Eurofins USA BioPharma Services
  • Lancaster, PA FULL_TIME
  • Company Description Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our e...
  • 1 Month Ago

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Territory Manager - Lancaster
  • Zoll Medical Corporation
  • Lancaster, PA FULL_TIME
  • Territory Manager - Lancaster Location: Remote, PA, United States of America Cardiac Management Solutions At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide ...
  • 15 Days Ago

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Territory Manager - Lancaster
  • Zoll Medical Corporation
  • Lancaster, PA FULL_TIME
  • Territory Manager - Lancaster Location: Remote, PA, United States of America Cardiac Management Solutions At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide ...
  • 15 Days Ago

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0 Medical Claims Review Manager jobs found in Lancaster, PA area

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Pharmacist- Sign-On Bonus Available
  • WALGREENS
  • Lancaster, PA
  • Job Objectives Provides pharmacy consulting services with empathy to patients regarding the effective usage of medicatio...
  • 4/25/2024 12:00:00 AM

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Psychiatrist
  • Spring Health
  • Lancaster, PA
  • Spring Health is the leading comprehensive mental health benefit for employers. We help employees understand their menta...
  • 4/25/2024 12:00:00 AM

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Orthopedist / Sports Med Physician Lancaster, PA
  • Healthcare Recruitment Counselors
  • Lancaster, PA
  • Orthopedist / Sports Med Physician Lancaster, PA We are seeking a compassionate Orthopedist / Sports MedicinePhysician t...
  • 4/24/2024 12:00:00 AM

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Psychologist, LCSW Social Worker, LPC, LMHC, LMFT FT or PT
  • Supportive Care
  • Lancaster, PA
  • Job Description Job Description Supportive Care is looking for Licensed Psychologists, Clinical Social Workers, LPCs, LM...
  • 4/24/2024 12:00:00 AM

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Nurse Practitioner/Physician Assistant - Diabetes & Endocrinology
  • Penn Medicine Lancaster General Health
  • Lancaster, PA
  • Summary Job Description Penn Medicine Lancaster General Health Physicians Diabetes & Endocrinology is seeking a full-tim...
  • 4/24/2024 12:00:00 AM

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Psychologist, LCSW Social Worker, LPC, LMHC, LMFT FT or PT
  • Supportive Care
  • Ephrata, PA
  • Job Description Job Description Supportive Care is looking for Licensed Psychologists, Clinical Social Workers, LPCs, LM...
  • 4/24/2024 12:00:00 AM

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Psychiatrist
  • Spring Health
  • Lancaster, PA
  • Spring Health is the leading comprehensive mental health benefit for employers. We help employees understand their menta...
  • 4/23/2024 12:00:00 AM

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Registered Nurse - Bilingual Spanish Preferred
  • Oak Street Health
  • Lancaster, PA
  • Description Company: Oak Street Health Title: Center Nurse - Bilingual Spanish Preferred Location: 790 New Holland Ave S...
  • 4/23/2024 12:00:00 AM

Lancaster (/ˈlæŋkəstər/ LANG-kə-stər) is a city located in South Central Pennsylvania which serves as the seat of Pennsylvania's Lancaster County and one of the oldest inland towns in the United States. With a population of 59,322, it ranks eighth in population among Pennsylvania's cities. The Lancaster metropolitan area population is 507,766, making it the 101st largest metropolitan area in the U.S. and second largest in the South Central Pennsylvania area. The city's primary industries include healthcare, tourism, public administration, manufacturing, and both professional and semi-professi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$95,620 to $121,917
Lancaster, Pennsylvania 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