Medical Claims Review Manager jobs in New Jersey

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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Sales Manager North
  • VERUS CLAIMS SERVICES LLC
  • Princeton, NJ FULL_TIME
  • Description

    SUMMARY:


    The Sales Manager North plays a crucial role in driving revenue and achieving sales targets for the company with a primary focus on the North market of the United States. With a hunter mentality, the Sales Manager North is involved in developing and implementing effective sales strategies and setting sales targets to achieve their goals in the legal mass tort industry and is responsible for maintaining strong relationships with key clients, forecasting sales projections, and presenting sales reports/data to senior management. The Sales Manager North collaborates with Verus’ Business Units as well as other departments to align sales efforts with company objectives and continuously improves the sales process. Strong leadership, communication, analytical thinking, business acumen and negotiation skills are essential in this dynamic and goal-oriented role.


    Primary Responsibilities

    • Develops and implements effective sales strategies and tactics to achieve company goals and objectives across Verus’ two business areas (Settlement Administration, Case Management).
    • Analyzes market trends, identifies potential opportunities, and sets sales targets.
    • Develops, acquires, and closes new business deals with a focus on company sales/revenue projections.
    • Researches, studies, and remains up to date on legal/mass tort industry standards, market trends, competitor activities.
    • Forecasts sales and tracks sales performance regularly in Salesforce (CRM system).
    • Works closely with Marketing and Business Units on the definition of sales and marketing strategies that fill the company’s opportunity funnel and drive sales.
    • Prepares and presents sales reports to senior management, highlighting achievements, challenges, and recommendations.
    • Builds and maintains strong relationships with key clients and accounts. Oversees the handling of customer inquiries, complaints, and issues to ensure a high level of customer satisfaction.
    • Negotiates pricing and agreement structures.
    • Manages departmental costs to budgetary guidelines.
    • Collaborates closely with the Sales Manager South and works cross-departmentally on client documents, proposals, materials, and communications.
    • Continually identifies new sales opportunities while maintaining existing client relationships.
    • Attends industry conferences and tradeshows as part of prospecting new clients.

    Requirements

    Requirements/Competencies

    • 5-10 years of experience in B2B sales, with a proven track record of achieving targets.
    • Experience in service sales highly desired.
    • Prior experience in legal industry/mass tort preferred.
    • Bachelor’s Degree in business-related field.
    • Tenacious sales leader with a hunter mentality.
    • Proven ability to complete cold calls; quickly establish positive, trusting relationships and rapport.
    • Excellent verbal and written communication skills and interpersonal skills are crucial for building relationships with clients, presenting sales reports/data, and communicating with the team effectively.
    • Adept at analyzing data, market trends, and performance metrics to make informed decisions and develop effective strategies.
    • Proven skills to sell on value rather than price.
    • Highly goal-oriented and driven to achieve results.
    • Strong negotiation skills to close deals and handle business contracts effectively.
    • Problem-Solver with a ability to identify challenges and develop effective solutions quickly.
    • Well versed in using customer relationship management (CRM) software, such as Salesforce. Salesforce experience desired.
    • Located in Northeast and close to a major airport.

    Key Skills

    • Business Acumen
    • Analytic Skills
    • Strategic Thinking
    • Tenacity
    • Judgement/Decision Making
    • Creativity
    • Innovation
    • Organization
    • Communication
    • Leadership

    Working Conditions

    Normal office conditions, including working for prolonged periods of time at a computer screen. Frequent overnight travel up to 50% required.

  • 20 Days Ago

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Medical Review Nurse (Hybrid)
  • Careers
  • Woodbury, NJ FULL_TIME
  • Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th...
  • 30 Days Ago

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Claims Reviewer
  • VERUS CLAIMS SERVICES LLC
  • Princeton, NJ FULL_TIME
  • DescriptionVerus Claims Reviewers are responsible for first review and data capture for all types of submitted documentation related to current case management and settlement administration projects. ...
  • 1 Month Ago

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Claims Program Manager, Medical Stop Loss (Remote or Eatontown, NJ)
  • Crum & Forster
  • EATONTOWN, NJ FULL_TIME
  • Crum & Forster Company Overview Crum & Forster (C&F) Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted...
  • 1 Month Ago

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Claims Manager
  • Munich Re America
  • Princeton, NJ FULL_TIME
  • Offer:Profile:
  • 15 Days Ago

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General Liability Claims Adjuster
  • TheBest Claims Solutions
  • Bridgewater, NJ FULL_TIME
  • Our client is seeking to add a remote Commercial General Liability Claims Adjuster to their team. The ideal candidate will have 2 years experience handling moderate Commercial General Liability claims...
  • 18 Days Ago

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Head of Medical Writing
  • Aerovate Therapeutics Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/26/2024 12:00:00 AM

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Veterinarian - Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Montclair, NJ
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/26/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow, Inc
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/26/2024 12:00:00 AM

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Medical Manager
  • CSL Behring
  • Kâğıthane, İstanbul
  • In order to strengthen our Medical Affairs Team in Turkey, we are currently recruiting for a Medical Manager (m/f) to be...
  • 4/26/2024 12:00:00 AM

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US Pneumococcal Adult Medical Lead, MD
  • Pfizer
  • New York, NY
  • ROLE SUMMARY Provide pneumococcal franchise leadership on behalf of Asset Medical Affairs team. * Collaborates with Bran...
  • 4/26/2024 12:00:00 AM

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Head of Medical Writing
  • Aerovate Therapeutics, Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/25/2024 12:00:00 AM

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Assistant-Certified Medical Lead
  • Baptist Memorial
  • Memphis, TN
  • Summary Provides personal care assistance to patients under the direction of licensed personnel and /or Administrator. P...
  • 4/25/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco
  • Baldwin, NY
  • Create a healthier, brighter future for pets, pet parents and people!If you want to make a real difference, create an ex...
  • 4/23/2024 12:00:00 AM

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$106,939 to $136,348

Medical Claims Review Manager in Parkersburg, WV
This end-to-end e-billing and e-payment solution is fully integrated with DecisionPoint, which means it can be immediately and easily integrated with your providers, adjusters, IT infrastructure, and claims workflow—enabling you to.
January 01, 2020
Medical Claims Review Manager in Juneau, AK
Examples include a claims examiner’s view of a particular bill’s status in a claim record’s related bill screen, or a bill review analyst’s view of an available reserve amount for the claim record related to the bill they are processing.
December 03, 2019
Medical Claims Review Manager in Galveston, TX
Assists the Manager, Medical Review with performing duties to oversee day-to-day activities within the Medical Claims Review Department to facilitate the achievement of business goals and targets.
December 16, 2019