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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Account Manager
  • Performance Review Institute (PRI)
  • Denville, NJ FULL_TIME
  • Description

    When was the last time you applied for a job with an organization that was over 100 years old? Did you know that Henry Ford and Wilbur Wright (one of the famous Wright Brothers) were early members and founders of SAE (The Society of Automotive Engineers)? Since 1905, SAE has been the key engineering standards and communications association for both the Automotive and Aerospace design engineering community. Since then our community of engineers has grown to include SPACE PRODUCT DESIGN ENGINEERS, MEDICAL DEVICE DESIGN ENGINEERS, MILITARY PRODUCT DESIGN ENGINEERS, DEFENSE PRODUCT DEVELOPERS, ELECTRONIC VEHICLE DESIGN ENGINEERS, ELECTRONIC DESIGN ENGINEERS, LASERS/PHOTONIC DESIGN ENGINEERS and much, much more. These important engineering communities rely on SAE standards, content, tradeshows and publications to develop the next electric vehicle; create the next lifesaving medical product; create transportation solutions to connect the masses; and help protect our nation.

    Our Denville, NJ office is looking for several Account Executives to educate, communicate and ultimately allow access to companies wishing to reach out communities. Our Account Executives educate our prospects and clients on our portfolio of: webinars, e-newsletters, podcasts, magazines, custom quizzes, web products, social media and other highly targeted lead generating and branding solutions.

    The individuals we hire will be trained, educated and mentored directly by our Vice President in our Denville, NJ office. Here are some things you might want to know about our Account Executive Career:

    The positions are Salary Commissions: Base, Plus Uncapped Commissions. An $800,000 territory will yield a salary commission total of over $100,000. This number doesn't include any of our bonus payout either!

    Job description:

    Our Account Executives actively engage with national businesses, create long- term relationships, and sell print, digital, electronic, web-based and custom advertising options and solutions to these national businesses.

    Requirements:

    * 1 plus years of inside or outside B2B experience and/or new business development
    -in some cases other sales experience will be considered.

    * Advertising sales or marketing sales experience a definite plus.

    * Hunter mentality!

    * All of our leads are warm! Why? Just about all of them are doing something in the market (trade shows, competitive publications, competitive digital/electronic products, directories, etc..) Our Account Executives believe this is an important aspect of their career here.

    * Not much travel-maybe a local trade show or two a year. We pick up all the normal travel and business expenses.

    * Experience with new business development and lead generation.

    * Outgoing, friendly, motivated self-starter with excellent interpersonal and sales skills

    * Entrepreneurial minded, professional in appearance and demeanor

    * Good business ethics and ability to represent our brand in a professional and enthusiastic manner. Both written and oral communication skills are a must.

    What we offer:

    * Opportunity to work independently with no micromanaging! YOU WILL LEARN AND BE TRAINED BY A 30-YEAR VETERAN IN THE INDUSTRY. Further, you will be mentored by one of our on-staff Account Executives too!

    * Tiered commissions-the more revenue you bring in, the more you make. UNCAPPED!

    *Bonus Programs!

    * Health Benefits!

    * 401 K with company match!

    * Bi-Weekly Pay via Direct Deposit

    * Print and digital sales training

    SO WHAT'S NEXT-if this opportunity sounds perfect for you, during the application process, don't just send the standard cover letter-TELL US ABOUT YOU! Specifically, tell us why you have the fire to succeed in a position like this and why you are the individual we should be interviewing.

    Thank you for your interest in our career!

    Job Type: Full-time

    Salary: $50,000.00 Commission

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Vision insurance

    Experience level:

    • 1 year

    Schedule:

    • Monday to Friday

    Supplemental pay types:

    • Bonus pay
    • Commission pay
    • Performance bonus

    Travel requirement:

    • No travel

    Ability to commute/relocate:

    • Denville, NJ: Reliably commute or planning to relocate before starting work (Required)

    Work Location: In person



    Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

    The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

    EOE/AA employer M/F/Vet/Disability


     

  • 24 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...
  • 14 Days Ago

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Neurosurgeon Telecommute Medical Review Stream
  • Concentra
  • Newark, NJ OTHER
  • Overview Are you an accomplished Board Certified Neurosurgeon? Candidates must have a NJ license. Are you passionate about your work/life balance? We are seeking flexible and experienced physicians fo...
  • 2 Days Ago

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Neurologist Telecommute Medical Review Stream
  • Concentra
  • Newark, NJ OTHER
  • Overview Are you an accomplished Board Certified Neurologist? Candidates must have a NJ license. Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for...
  • 2 Days Ago

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Medical Promotional Review Specialist I
  • Proclinical Staffing
  • Plainsboro, NJ CONTRACTOR
  • Proclinical is seeking a Medical Reviewer who will play a crucial role in ensuring the scientific accuracy and clinical appropriateness of promotional materials.Primary Responsibilities:The successful...
  • 6 Days Ago

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Neurosurgeon Telecommute Medical Review Stream
  • Concentra Career Choice
  • Newark, NJ OTHER
  • Overview Are you an accomplished Board Certified Neurosurgeon? Candidates must have a NJ license. Are you passionate about your work/life balance? We are seeking flexible and experienced physicians fo...
  • 1 Day Ago

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Hospital Medical Leader
  • Petco
  • Folsom, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/10/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Alameda, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/9/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Fairfield, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/9/2024 12:00:00 AM

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Head of Medical Writing
  • Barrington James
  • Clinical-stage biopharmaceutical company in San Francisco, is seeking a Head of Medical Writing. This leadership role in...
  • 6/8/2024 12:00:00 AM

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Head of Medical Strategy
  • ExecuSearch
  • Atlanta, GA
  • The Head of Medical Strategy provides medical expertise to the rheumatology commercial and medical teams and provides cl...
  • 6/8/2024 12:00:00 AM

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Head of Medical Strategy Rheumatology
  • UCB
  • Atlanta, GA
  • Make your mark for patients The Head of Medical Strategy provides medical expertise to the rheumatology commercial and m...
  • 6/8/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Pinellas Park, FL
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/8/2024 12:00:00 AM

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Head of Medical Writing
  • Barrington James
  • San Francisco, CA
  • Head of Medical Writing - Rare disease Biotech We are currently partnered with a growing, west coast based biotech focus...
  • 6/7/2024 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
$107,434 to $136,981

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