Medical Claims Review Manager jobs in Portsmouth, OH

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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District Manager
  • District Manager
  • Elkhart, IN FULL_TIME
  •  

    Description

    Using your past leadership experience, you will:

    • Grow a portfolio of successful businesses: Develop district-level strategies to achieve each restaurant’s financial, operational and customer-service goals, while addressing each unit’s unique strengths and challenges.  Develop and execute store level plans that build sales, increase profits and develop people.
    • Lead a team of leaders:  Motivate, coach and strengthen General Managers as team leaders and restaurant operators.
    • Serve as a resource:  Provide expertise on key customer issues, team staffing and management, restaurant operations and company policies and procedures.
    • Build successful teams:  Analyze the staff and be able to devise the right kind of talent management and recruiting strategies.  Identify training gaps and work to fill them.

    Requirements

    • Multi-unit restaurant operations leadership experience in the QSR segment
    • Proven sustainable success in scoring above system averages in key operation metrics
    • A track record of distinguished accomplishments in prior employment
    • Recent restaurant opening experience
    • Assertive, self-directed leader
    • Strong analytical skills and an ability to take action based on data
    • Effective recruiter and developer of people
    • A valid Driver’s License and a good driving record

    Compensation

    Tria has created an environment that rewards hard work, dedication and commitment.  This position offers:

    • Competitive base salary commensurate with experience
    • Structured bonus potential
    • Wellness benefits including health and dental insurance
    • Additional executive-level perks include a company car, cell phone reimbursement, company credit card
    • Paid time off
  • 9 Days Ago

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Utilization Review Nurse
  • St. Claire HealthCare
  • Morehead, KY FULL_TIME
  • The role of the Utilization Review Nurse actively supports the management of a successful compliant utilization review program through planning, process evaluation, data analysis and establishing goal...
  • 12 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • PLUMMERS LANDING, KY 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...
  • 26 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • GRAHN, KY 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...
  • 26 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • TOLLESBORO, KY 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...
  • 26 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • CHERRY FORK, OH 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...
  • 26 Days Ago

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0 Medical Claims Review Manager jobs found in Portsmouth, OH area

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Operations Associate
  • McDonald's
  • Portsmouth, OH
  • McDonald’s is proud to be one of the most recognized brands in the world, with restaurants in over 100 countries that se...
  • 4/23/2024 12:00:00 AM

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Pharmacist
  • Genoa Healthcare
  • Portsmouth, OH
  • Genoa is a pharmacy care services company that is part of Optum and UnitedHealth Group’s family of businesses. We are pa...
  • 4/23/2024 12:00:00 AM

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KFC Restaurant General Manager
  • KFC
  • Portsmouth, OH
  • Looking for a rewarding career in the fast-food industry? KBP Foods, a leading franchisee of KFC, is hiring a Restaurant...
  • 4/23/2024 12:00:00 AM

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KFC Restaurant General Manager
  • KFC
  • New Boston, OH
  • Looking for a rewarding career in the fast-food industry? KBP Foods, a leading franchisee of KFC, is hiring a Restaurant...
  • 4/23/2024 12:00:00 AM

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Registered Nurse - RN - Home Health
  • Professional Case Management
  • Portsmouth, OH
  • Make a Difference on Your Own Schedule and Terms! Hiring Registered Nurses in Ohio Professional Case Management, the lea...
  • 4/23/2024 12:00:00 AM

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General Anesthesiologist Needed - 200k Med School Loan Repayment
  • www.somc.org
  • Portsmouth, OH
  • Southern Ohio Medical Center is looking for a Board Certified/Board Eligible Anesthesiologist to join our well establish...
  • 4/23/2024 12:00:00 AM

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Nurse Practitioner (Primary Care Med) Signing Bonus
  • Eventus WholeHealth
  • Portsmouth, OH
  • Job Description Job Description Position Summary: Eventus WholeHealth delivers an integrated model of care to adults who...
  • 4/23/2024 12:00:00 AM

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Travel Skilled Nursing Facility Physical Therapist - $2,159 per week
  • Hiring Now!
  • Portsmouth, OH
  • Jackson Therapy Partners is seeking a travel Skilled Nursing Facility Physical Therapist for a travel job in Portsmouth,...
  • 4/22/2024 12:00:00 AM

Portsmouth is a city in and the county seat of Scioto County, Ohio, United States. Located in southern Ohio 41 miles (66 km) south of Chillicothe, it lies on the north bank of the Ohio River, across from Kentucky, just east of the mouth of the Scioto River. The population was 20,226 at the 2010 census. Portsmouth is at the confluence of the Ohio, Scioto, and Little Scioto rivers. It is a midway point among four major cities: Charleston, West Virginia, Cincinnati and Columbus, Ohio; and Lexington, Kentucky, each of which are approximately ninety miles away (roughly a two-hour drive). Much of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$89,083 to $113,582
Portsmouth, Ohio area prices
were up 1.3% 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