Medical Claims Review Manager jobs in Oklahoma

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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Institutional Review Board (IRB) Manager
  • Oklahoma State University, Stillwater (OSU)
  • Stillwater, OK FULL_TIME
  • Position Details

    Req ID:

    req15870

    Position Title:

    Institutional Review Board (IRB) Manager

    Position Type:

    Staff Full-Time

    Position Number:

    331971

    OSU Campus:

    Stillwater

    Department:

    University Research Compliance

    Location Address:

    Stillwater, OK USA

    Hiring Supervisor:

    Dr. Mindy James

    Hiring Range:
    (Contingent upon available funding):

    51,600.00 - 70,680.00, Salary

    Work Schedule:

    Monday to Friday 8am-5pm, 40 hours minimum

    Faculty Appt Period:

    Job Summary:

    The IRB Manager is responsible for managing the University's human research participant protection program and administering the Institutional Review Board (IRB). This includes daily oversight, implementation, administration, and management of policies and procedures pertaining to human subject research activities. The incumbent helps to ensure that the IRB meets its primary responsibility of safeguarding the rights and welfare of human subjects who volunteer to participate in research conducted under the auspices of the University, while working to maintain compliance with pertinent regulations. The IRB Manager administers the protocol review system in accordance with institutional policies and standard operating procedures, provides consultation to University personnel, students, and IRB members with regard to human subject protection and IRB review, and supervises the activities of human research participant protection program personnel. The incumbent interacts with personnel of federal agencies, personnel of affiliated institutions, institutional officials, researchers, and human subjects to achieve a comprehensive human research participant protection program. In addition, the IRB Manager handles regulatory reporting.

    Work schedule may extend beyond regular office hours of 8 am to 5 pm Monday to Friday, as needed to complete assignments.

    Travel is required, including travel for training and professional development.  

    Special Instructions to Applicants

    Applicants should attach a resume, a letter of application, and the names, addresses (including e-mail addresses), and telephone numbers of three professional references. Applications will be accepted until a successful candidate is selected.

    Education & Experience

    Position Qualifications:

      Required:

    Bachelor's degree in social science, health science, education, management or related field

    Four years related experience managing a human research protection program (preferably in an academic setting), or equivalent experience working in human subject protection, research administration, and/or compliance is required.

    Demonstrated knowledge and understanding of regulations pertinent to human subjects research.

    Ability to develop and present educational programs to a diverse constituency. Thus, teaching/training experience is required.

    Proficient computer skills, which includes MS Office applications and database applications.

    Excellent written communication skills.

    Solid interpersonal skills, including the ability to communicate effectively with a diverse audience of professionals.

    Must be detail oriented, possess superb organizational skills, and be able to handle multiple projects simultaneously.

    Preferred:

    Master's degree in social science, health science, education, management or related field

    Prior professional experience with human subjects research or IRB administration, preferably in an academic setting, is preferred.

    Certified IRB Professional preferred.

    Working knowledge of grants and contracts administration.

    Oklahoma State University (OSU) strives to provide a safe study, work, and living environment for its faculty, staff, volunteers and students. To support this environment and comply with applicable laws and regulations, OSU conducts pre-employment background checks on final candidates. Offers of employment are contingent upon the successful completion of a background check. The type of background check conducted varies by position and can include, but is not limited to, criminal (felony and misdemeanor) history, sex offender registry, motor vehicle history, financial history, and/or education verification. Background checks will be conducted when required by law or contract and when, in the discretion of the university, it is reasonable and prudent to do so.

    Oklahoma State University, as an equal opportunity employer, complies with all applicable federal and state laws regarding non-discrimination and affirmative action. Oklahoma State University is committed to a policy of equal opportunity for all individuals and does not discriminate based on race, religion, age, sex, color, national origin, marital status, sexual orientation, gender identity/expression, disability, or veteran status with regard to employment, educational programs and activities, and/or admissions. For more information, visit eeo.okstate.edu.

     

  • 23 Days Ago

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Medical Management- Concurrent Review Nurse- RN 145-2018
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populat...
  • 14 Days Ago

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Medical Office Manager
  • Abundant Medical Solutions
  • Tulsa, OK FULL_TIME
  • We are seeking a highly organized and experienced Medical Office Manager to join our team! Medical Office Manager Pay: DOE- highly competitive Medical Office Manager Hours: M-Thurs 8am to 5pm and Frid...
  • 23 Days Ago

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Field Project Manager for Insurance Claims
  • White Oaks Aligned LLC
  • Oklahoma, OK FULL_TIME
  • JOB SUMMARYThe Field Project Manager contributes in maximizing the success and performance of their assigned area(s) and is responsible for all project scope changes, project schedule, project costs a...
  • 2 Months Ago

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Paid Product Tester
  • Product Review Jobs
  • Oktaha, OK 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...
  • 12 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Kiowa, OK 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...
  • 12 Days Ago

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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...
  • 6/2/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Health and Wellness Company, Inc.
  • Plainview, NY
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/2/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco
  • Santa Rosa, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/31/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Health and Wellness Company, Inc.
  • Saratoga Springs, UT
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/30/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Folsom, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/30/2024 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...
  • 5/29/2024 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...
  • 5/29/2024 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...
  • 5/29/2024 12:00:00 AM

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$90,466 to $115,344

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