Medical Claims Review Manager jobs in Tucson, AZ

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)

N
RN Quality Coordinator - Peer Review
  • Northwest Medical Center Tucson
  • Tucson, AZ FULL_TIME
  • Quality Coordinator (RN) - Peer Review is a Full Time position working Mon- Friday at Northwest Medical Center  What You'll do: Quality Coordinator (RN) - Peer Review will coordinate provider peer review process for the Executive Committee for the Department of Medicine, Executive Committee for the Department of Surgery and Anesthesia, as well as our Allied Health Providers. Requires Associate's degree, at least 3 years of acute clinical experience , and is licensed as a registered nurse.

  • 1 Month Ago

C
Utilization Review Nurse Manager
  • Clinical Management Consultants
  • Tucson, AZ FULL_TIME
  • A reputable non-profit hospital organization in Southern Arizona is actively interviewing for a Utilization Review Nurse Manager to join their leadership team! Working in collaboration with the Nurse ...
  • 16 Days Ago

C
Utilization Review Nurse Manager
  • Clinical Management Consultants
  • Sahuarita, AZ FULL_TIME
  • A reputable non-profit hospital organization in Southern Arizona is actively interviewing for a Utilization Review Nurse Manager to join their leadership team! Working in collaboration with the Nurse ...
  • 25 Days Ago

N
Medical Claims Examiner - G
  • Next Step Systems
  • Tucson, AZ FULL_TIME
  • Job DetailsMedical Claims Examiner, Tucson, AZ The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all pro...
  • 22 Days Ago

N
Medical Claims Examiner
  • Next Step Systems
  • Tucson, AZ FULL_TIME
  • Job DescriptionMedical Claims Examiner The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider ty...
  • 23 Days Ago

P
Medical Claims Examiner
  • Parallel Partners
  • Tucson, AZ FULL_TIME
  • Job DescriptionMedical Claims Examiner The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider ty...
  • 24 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Medical Claims Review Manager jobs found in Tucson, AZ area

S
Senior Living Medication Aide - Villa Hermosa
  • Senior Resource Group, LLC
  • Tucson, AZ
  • Company Description AZ Caregiver Certification REQUIRED Part time and full time positions available The anticipated wage...
  • 4/19/2024 12:00:00 AM

F
Registered Nurse
  • Family Loving Kare
  • Tucson, AZ
  • Job Description Job Description As a Registered Nurse for an assisted living home, your responsibility is to uphold the ...
  • 4/18/2024 12:00:00 AM

S
Assisted Living Medication Aide - Villa Hermosa
  • Senior Resource Group
  • Tucson, AZ
  • Company Description AZ Caregiver Certification REQUIRED The anticipated wage range for this position is $19 - $21 / hour...
  • 4/18/2024 12:00:00 AM

S
Medication Aide - Villa Hermosa
  • Senior Resource Group
  • Tucson, AZ
  • Company Description AZ Caregiver Certification REQUIRED Part time and full time positions available The anticipated wage...
  • 4/18/2024 12:00:00 AM

P
Pharmacist
  • Prolink
  • Tucson, AZ
  • We are seeking a skilled and dedicated Pharmacist to join our team. As a Pharmacist, you will be responsible for providi...
  • 4/17/2024 12:00:00 AM

T
Back Office Medical Assistant
  • TTF
  • Tucson, AZ
  • Job Description Job Description TTF is recruiting a Back Office Medical Assistant for a specialty clinic in Tucson, AZ. ...
  • 4/17/2024 12:00:00 AM

M
Direct Care Worker - In Home Care
  • Mosaic
  • Tucson, AZ
  • Have you ever been interested in becoming a Contractor? Are you interested in obtaining more information on becoming a 1...
  • 4/16/2024 12:00:00 AM

T
Senior Accounting Analyst - Hospital
  • TTF
  • Tucson, AZ
  • Job Description Job Description TTF is recruiting for a Senior Accounting Analyst for a well-respected nonprofit healthc...
  • 4/16/2024 12:00:00 AM

Tucson (/ˈtuːsɒn, tuːˈsɒn/) is a city and the county seat of Pima County, Arizona, United States, and home to the University of Arizona. The 2010 United States Census put the population at 520,116, while the 2015 estimated population of the entire Tucson metropolitan statistical area (MSA) was 980,263. The Tucson MSA forms part of the larger Tucson-Nogales combined statistical area (CSA), with a total population of 1,010,025 as of the 2010 Census. Tucson is the second-largest populated city in Arizona behind Phoenix, both of which anchor the Arizona Sun Corridor. The city is 108 miles (174 km)...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$92,596 to $118,061
Tucson, Arizona 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