Medical Claims Review Manager jobs in Stockton, CA

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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Account Manager
  • RS Medical
  • Stockton, CA FULL_TIME
  • Description

    RS Medical designs and builds prescription-grade medical devices that provide pain relief and muscle rehabilitation. Our DME products empower patients suffering from severe, often debilitating musculoskeletal conditions to get safe and effective on-the-spot treatment at home. Since its founding in 1990, RS Medical has helped over 1.5 million patients in the US reduce pain, regain mobility and get back to the activities of life.


    As an Account Manager, you’ll be responsible for establishing efficacy with healthcare practitioners to adopt our products into patient treatment plans. You will also be there to guide relationships by providing service and educating practitioners and patients on the use of our products.


    What You’ll Be Doing

    • Establish, maintain and grow customer relationships in a defined territory
    • Utilize your superior sales skills to build a pipeline of prospects and revenue
    • Instruct healthcare practitioners and patients on the use of RS Medical products
    • Conduct business in compliance with regulations and contracts dictating the adoption of RS Medical products
    • Assist in management of Field Service Representatives, as needed
    • Utilize Salesforce to document and track all sales and administrative activities
    • Manage an inventory of RS Medical products consistent with company policy
    • Attend meetings, marketing events and additional training, as assigned

    Requirements

    What You’ll Bring to Us

    Demonstrated track record of:

    • Building and managing sales account(s) with a focus on exceptional service
    • Establishing, maintaining and growing working relationships within accounts
    • Understanding and promoting innovative medical technologies
    • Presenting and effectively discussing scientific material
    • Persuading healthcare practitioners to evaluate and adopt innovative treatments
    • Influencing key decision-makers in a medical clinic or hospital setting

    Education:

    • College degree or equivalent combination of education and experience
    • VA/DOD sales experience a plus
    • U.S Veteran/Armed Forces Reserve a plus
    • Workers Compensation or Personal Injury Protection experience needed

    Additional skills:

    • Extraordinary degree of integrity
    • High degree of organization and attention to detail
    • Strong communication and interpersonal skills
    • Proficient use of software including Microsoft Office and Salesforce
    • Ability to independently manage tasks and set priorities
    • Maintain a valid Driver’s license and current automobile insurance

    How We’ll Take Care of You

    • Competitive base salary, monthly commission and expense reimbursement
    • Medical, dental and vision insurance
    • 401k with company contribution
    • Annual paid vacation starting at 3 weeks, sick time and paid holidays
    • Life insurance, disability and FSA/HSA options
    • Company-paid employee assistance program

    Additional Necessities

    Account Managers work remotely. Requires frequent or continuous periods of talking, sitting and repetitive motion of the hands/wrists, and good general vision and hearing. May also require occasional standing, walking, reaching, grasping and handling. Must be able to move and lift as much as 25 pounds of product and materials over short distances and height. Requires frequent traveling by car or other mode of transportation up to 70%. May require working long or extended hours. May be exposed to patients with infectious diseases. Must meet hospital credentialing requirements, e.g. Reptrax, Vendormate, etc.     

  • 30 Days Ago

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • JACKSON, CA 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...
  • 9 Days Ago

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Travel Nurse RN - Case Manager in Jackson, CA
  • OneStaff Medical
  • JACKSON, CA FULL_TIME
  • Case Management Nurses coordinate long-term care for their patients. Their goal is to treat their patients at optimal times to keep them healthy and out of the hospital. As a Case Management Nurse, yo...
  • 10 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • MOKELUMNE HILL, CA 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...
  • 25 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • RAIL ROAD FLAT, CA 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...
  • 25 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • WILSEYVILLE, CA 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...
  • 25 Days Ago

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0 Medical Claims Review Manager jobs found in Stockton, CA area

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Deputy Chief Medical Officer
  • Health Plan of San Joaquin
  • French Camp, CA
  • Job Description Job Description The expected pay range is based on many factors such as geography, experience, education...
  • 4/22/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Stockton, CA
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $86-$130 an hour Are you a Licensed Clinical Social Worker l...
  • 4/21/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Stockton, CA
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $86-$130 an hour Are you a Licensed Mental Health Counselor...
  • 4/21/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Stockton, CA
  • Remote Licensed Psychiatrist Wage: Between $148-$232 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/21/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Stockton, CA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $144-$222 an hour Are you a licensed Psychiatric Nurse look...
  • 4/21/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Stockton, CA
  • Remote Licensed Mental Health Therapist (LMHT) Wage: Between $86-$130 an hour Are you a Licensed Mental Health Therapist...
  • 4/21/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practioner
  • Hiring Now!
  • Stockton, CA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $203 - $269 an hour Are you a licensed Psychiatric Nurse lo...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Stockton, CA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $144-$222 an hour Are you a licensed Psychiatric Nurse look...
  • 4/19/2024 12:00:00 AM

Stockton is the county seat of San Joaquin County in the Central Valley of the U.S. state of California. Stockton was founded by Captain Charles Maria Weber in 1849 after he acquired Rancho Campo de los Franceses. The city is named after Robert F. Stockton, and it was the first community in California to have a name not of Spanish or Native American origin. The city is located on the San Joaquin River in the northern San Joaquin Valley and had an estimated population of 320,554 by the California Department of Finance for 2017. Stockton is the 13th largest city in California and the 63rd larges...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$104,597 to $133,363
Stockton, California area prices
were up 2.5% 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