Medical Claims Review Manager jobs in Lynchburg, VA

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, Electronic Medical Record
  • UVA Medical Center
  • Charlottesville, VA FULL_TIME
  • The position is a manager on the Epic EMR leadership team. Responsible for project planning leadership and management for the Electronic Medical Record (EMR) clinical applications. Maintains software certification and leads teams to derive cross-functional business strategy solutions to support business and clinical functions. Oversees team in establishing and conducting structure pre and post live application optimization. Identifies workflow improvements and opportunities and resolves issues to maximize effective use of the systems and applications. Ensures systems-wide adherence and governance of the EMR application across all specialties. Ability to translate visionary concepts into well defined documented technical requirements and present solutions with cost analysis to management and governance teams. This position requires the ability to communicate with various stakeholders and leaders in operations in order to meet requirements in the clinical care delivery setting revenue cycle management and IT. Ability to work with and coordinate efforts with multiple departments in order to support the organizational goals for quality across all required systems in support of EMR requirements. Manages analysts who support the EMR application. Establish and maintain relationships with stakeholders across disciplines Plan and guide implementation of new software functionality Receiving/initial evaluation of all build/system change requests Presentation of change requests to relevant committees for approval Work assignment. and monitoring of completion Participation in leadership meetings and all management meetings specified by the MC. In addition to the above job responsibilities, other duties may be assigned. Position Compensation Range: $115,793.60 - $185,265.60 Annual MINIMUM REQUIREMENTS Education: BA or BS required Masters preferred Experience: 5 or more years of Clinical Informatics or Technical experience Evidence of formal or informal leadership. Licensure: None PHYSICAL DEMANDS This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs. The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. The University of Virginia is an iconic public institution of higher education, boasting nationally ranked schools and programs, diverse and distinguished faculty, a major academic medical center, and proud history as a renowned research university. In January of 1819, the Commonwealth of Virginia’s General Assembly chartered what would become the University of Virginia. Entering our third century, the University has served Virginia, the nation, and the world by: educating responsible citizen-leaders; advancing, preserving, and disseminating knowledge; and providing world-class patient care. These responsibilities are enduring and continue to inspire our efforts. The UVA Health System is renowned for providing outstanding patient care, educating tomorrow's health care leaders, and discovering new and better ways to treat diseases. The UVA Medical Center and Physicians Group, School of Medicine, and School of Nursing are recognized for their excellence in patient care, education, and research. At UVA, we offer a rich collection of benefits, which have long been recognized and valued for their comprehensiveness and competitiveness in the market. In addition to a robust array of traditional benefits such as health care, time off, and retirement, UVA offers an array of other benefits and services to support faculty, staff, and UVA Health team members with their personal and family needs. We are committed to a policy of equal opportunity for all persons and welcome diversity in all forms. For more information on the University of Virginia and the surrounding area, visit our Why UVA and Why Charlottesville webpages
  • 17 Days Ago

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • CHARLOTTESVILLE, VA FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 14 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • UPPER TRACT, WV 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...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • ARBOVALE, WV 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...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • SAXE, VA 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...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • SKIPWITH, VA 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...
  • Just Posted

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0 Medical Claims Review Manager jobs found in Lynchburg, VA area

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Custom Protection Officer
  • Allied Universal®
  • Lynchburg, VA
  • Overview Allied Universal®, North America's leading security and facility services company, provides rewarding careers t...
  • 3/28/2024 12:00:00 AM

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Lead RN Registered Nurse
  • HORIZON BEHAVIORAL SERVICES, LLC
  • Lynchburg, VA
  • Hours: full-time (37.5 hours per week), night shift supervisor position, with on-call rotation Location: Lynchburg, VA 2...
  • 3/28/2024 12:00:00 AM

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Plumber
  • Southern Air, Inc
  • Lynchburg, VA
  • Southern AirPlumber Lynchburg, VA 24501 Be part of a growing employee-owned company that has been around for over 75 yea...
  • 3/28/2024 12:00:00 AM

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Research and Test Reactor Quality Control NDT Level III
  • BWX Technologies Inc.
  • Lynchburg, VA
  • At BWX Technologies, Inc. (NYSE: BWXT), we are People Strong, Innovation Driven. Headquartered in Lynchburg, Va., BWXT p...
  • 3/28/2024 12:00:00 AM

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Early Career ALARA Radiological Specialist
  • Framatome
  • Lynchburg, VA
  • What You've Accomplished You have completed a B.S. in Physics or related discipline. You may have also obtained an advan...
  • 3/28/2024 12:00:00 AM

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Engineering Design Process Lead
  • BWX Technologies, Inc.
  • Lynchburg, VA
  • At BWX Technologies, Inc. (NYSE: BWXT), we are People Strong, Innovation Driven. Headquartered in Lynchburg, Va., BWXT p...
  • 3/28/2024 12:00:00 AM

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Test Engineer
  • Nuclear Fuel Services
  • Lynchburg, VA
  • At BWX Technologies, Inc. (NYSE: BWXT), we are People Strong, Innovation Driven. Headquartered in Lynchburg, Va., BWXT p...
  • 3/28/2024 12:00:00 AM

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Lead Test Engineer
  • Nuclear Fuel Services
  • Lynchburg, VA
  • At BWX Technologies, Inc. (NYSE: BWXT), we are People Strong, Innovation Driven. Headquartered in Lynchburg, Va., BWXT p...
  • 3/28/2024 12:00:00 AM

Lynchburg is an independent city in the Commonwealth of Virginia in the United States. As of the 2010 census, the population was 75,568. The 2017 census estimates an increase to 81,000. Located in the foothills of the Blue Ridge Mountains along the banks of the James River, Lynchburg is known as the "City of Seven Hills" or the "Hill City". In the 1860s, Lynchburg was the only major city in Virginia that was not recaptured by the Union before the end of the American Civil War. Lynchburg lies at the center of a wider metropolitan area close to the geographic center of Virginia. It is the fifth-...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$89,292 to $113,848
Lynchburg, Virginia area prices
were up 1.2% 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