Medical Claims Review Manager jobs in Troy, NY

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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Unit Manager
  • American Medical Associates
  • Woodford, VT FULL_TIME
  • Unit Manager - SNF/LTC - Located in Bennington, VT

    Salary: Up to $50/HR; based on experience)

    INQUIRE TODAY!!


    Responsibilities:

    • Assist with patient’s examinations and/or questions.
    • Implement and interpret organizational policies and procedures, and nursing standards and regulations.
    • Assists with preparing the departmental fiscal budget.

    Qualifications:

    • Must have Vermont RN license
    • Prior Unit Manager experience preferred
    • Must have long term care experience
    • Must have strong management skills

    #5158

  • 3 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • East Wallingford, VT 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...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • North Pownal, VT 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...
  • 1 Day Ago

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QA Validation Specialist - Document Review
  • Regeneron Pharmaceuticals Inc.
  • Troy, NY FULL_TIME
  • The QA Validation Oversight department is hiring! This team leads all aspects of documentation for validation areas across the business, including QC, Process Sciences, operations, CSV, gene and cell ...
  • 18 Days Ago

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Dialysis Clinical Manager
  • Fresenius Medical Care
  • Troy, NY FULL_TIME
  • About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be pa...
  • 4 Days Ago

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Nurse Case Manager - Now Hiring
  • Albany Medical Center
  • Johnsonville, NY FULL_TIME
  • Johnsonville, NY, United StatesDepartment/Unit:Case Management/Social WorkWork Shift:Day (United States of America)Position Title: Nurse Case ManagerDepartment: Case Management/Social WorkReports to: ...
  • 12 Days Ago

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0 Medical Claims Review Manager jobs found in Troy, NY area

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Saratoga Springs, NY
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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KFC Team Member
  • KBP Foods
  • Troy, NY
  • Are you ready to take your career to the next level while savoring the delicious taste of success? Look no further than ...
  • 3/28/2024 12:00:00 AM

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Registered Nurse Case Manager FT/PT
  • Troy Center
  • Troy, NY
  • Job DescriptionJob DescriptionRegistered Nurse (RN) Troy Center is looking to hire a Registered Nurse (RN) to work for o...
  • 3/28/2024 12:00:00 AM

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Licensed Practical Nurse
  • Milan Laser Company
  • Albany, NY
  • About Milan Laser Hair Removal Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. Tha...
  • 3/26/2024 12:00:00 AM

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Psych Clinical Supervisor
  • Berkshire Health Systems, Inc.
  • Pittsfield, MA
  • Adult Psychiatric Nurse Practitioner Opening, Berkshire Health Systems, Sign on Bonus! The Brien Center is seeking a hig...
  • 3/26/2024 12:00:00 AM

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RN-Ambulatory
  • Albany Medical Center
  • Troy, NY
  • Department/Unit: HBD - Peds Counseling & Behavioral Health Work Shift: Day (United States of America) RN - OutPatient Pe...
  • 3/26/2024 12:00:00 AM

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Nursing Supervisor (RN) - (Req 100748)
  • Whitney M Young Jr Health Center
  • Albany, NY
  • GENERAL RESPONSIBILITIES: The Nursing Supervisor (Registered Nurse) at Whitney Young Health oversees the coordination an...
  • 3/25/2024 12:00:00 AM

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Licensed Practical Nurse
  • Milan Laser Company
  • Colonie, NY
  • About Milan Laser Hair Removal Milan Laser Hair Removal is one of the nation's premier laser hair removal providers. Tha...
  • 3/24/2024 12:00:00 AM

Troy is a city in the U.S. state of New York and the seat of Rensselaer County. The city is located on the western edge of Rensselaer County and on the eastern bank of the Hudson River. Troy has close ties to the nearby cities of Albany and Schenectady, forming a region popularly called the Capital District. The city is one of the three major centers for the Albany Metropolitan Statistical Area (MSA), which has a population of 1,170,483. At the 2010 census, the population of Troy was 50,129. Troy's motto is Ilium fuit. Troja est, which means "Ilium was, Troy is". Today, Troy is home to Renssel...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$98,754 to $125,913
Troy, New York 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