Medical Claims Review Manager jobs in Delaware

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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Medical Science Liaison - Respiratory Biologics
  • 10000222 - Manager Medical Liaison
  • Wilmington, DE FULL_TIME
  • Medical Science Liaison-Respiratory Biologics

    Location: Kentucky/Cincinnati OH (Lexington KY, Louisville KY, Cincinnati OH)

    At AstraZeneca, we put patients first and strive to meet their unmet needs worldwide. Working here means being ambitious, thinking big and working together to make the impossible a reality. AstraZeneca holds a unique position in respiratory disease, including asthma and chronic obstructive pulmonary disease (COPD), with a range of differentiated potential medicines in development by leveraging novel combinations, biologics and devices.

    If you are patient focused, passionate about developing collaborative relationships with Key Opinion Leaders in the Respiratory Biologics area and would like to apply your expertise in a company that follows the science and turns ideas into life changing medicines, AstraZeneca might be the one for you!

    This role is for a field-based professional with scientific, clinical and therapeutic expertise. The Respiratory  Biologics  Associate Medical Science Liaison / Medical Science Liaison / Sr.  Medical Science Liaison is responsible for providing medical and scientific support for AstraZeneca's marketed products, new indications and compounds in development.  

    What you'll do:
    Develop relationships and engage in scientific exchange with medical and scientific partners, including Healthcare Professionals and Managed Markets Customers.  Each scientific engagement is focused on advancing Practice Change with the ultimate goal of providing objective and balanced scientific and clinical information that influences Practice Change thus improving medical care for patient with Asthma.


    Partner with key internal collaborators including Respiratory Health Systems Medical Science Liaisons, Commercial Account Directors/Managers, Payer Medical, Medical Directors, and Practice Change Champions.
    Identify pre-clinical, clinical and post-marketing study investigators in alignment with Medical Affairs objectives; and provide impactful information that enhances the value and proper use of AZ products to internal partners.
    Respond to customer inquiries to provide focused and balanced clinical and scientific information that supports the appropriate use of or clinically differentiates AstraZeneca's products and services

    Essential for the role:

    • Advanced Clinical/Science Degree required (e.g., MD, PharmD, PhD, MSN, NP, PA, etc.). BSN with extensive clinical experience may be considered.
    • 2 years’ experience as a Medical Science Liaison in the pharmaceutical industry
    • Knowledge customer segments, health systems, and market dynamics
    • Demonstrated expertise in discussing scientific content and context to multiple audiences
    • Clinical and/or scientific expertise in the respiratory area, ideally in asthma
    • Experience initiating Practice Change within Health Systems
    • Excellent project management ability
    • Excellent oral and written communication and interpersonal skills
    • Working knowledge of Microsoft Office Suite
    • Thorough knowledge of regulatory environment
    • Experience in the pharmaceutical industry
    • Strong leadership capabilities
    • Must reside in territory
    • Ability to travel (50-70%) – percentage varies with geography

    Desirable for the role:

    • Established track record of basic or clinical research
    • Proven expertise in the drug discovery and drug development process
    • Experience in Biologics

    Why AstraZeneca?
    At AstraZeneca when we see an opportunity for change, we seize it and make it happen, because any opportunity no matter how small, can be the start of something big. Delivering life-changing medicines is about being entrepreneurial - finding those moments and recognizing their potential. Join us on our journey of building a new kind of organization to reset expectations of what a bio-pharmaceutical company can be. This means we’re opening new ways to work, pioneering groundbreaking methods and bringing unexpected teams together.
     

    AstraZeneca embraces diversity and equality of opportunity. We are committed to building an inclusive and diverse team representing all backgrounds, with as wide a range of perspectives as possible, and harnessing industry-leading skills. We believe that the more inclusive we are, the better our work will be. We welcome and consider applications to join our team from all qualified candidates, regardless of their characteristics. We comply with all applicable laws and regulations on non-discrimination in employment (and recruitment), as well as work authorization and employment eligibility verification requirements.

  • 12 Days Ago

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Medical Science Liaison, Resp. - N CA
  • 10000222 - Manager Medical Liaison
  • Wilmington, DE FULL_TIME
  • Location: Northern, CA, USADo you have expertise in field-based Medical and a passion for contributing to Transforming Care in Health Systems? Would you like to apply your expertise to impact the live...
  • 24 Days Ago

5
Medical Science Liaison, MA, RI - GI
  • 50201106 - Oncology Medical Liaison Manager
  • Wilmington, DE FULL_TIME
  • Location: MA, RI, USADo you have expertise in, and passion for Medical Affairs in Oncology? AstraZeneca’s vision in Oncology is to help patients by redefining the cancer-treatment paradigm with the bo...
  • 3 Days Ago

5
Medical Science Liaison - Lung, NC/VA
  • 50201106 - Oncology Medical Liaison Manager
  • Wilmington, DE FULL_TIME
  • Location: North Carolina, Virginia, USADo you have expertise in, and passion for Medical Affairs in Oncology? Are you ready to make a significant impact in the field of Lung Cancer? AstraZeneca’s visi...
  • 6 Days Ago

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SVP Process Review Manager
  • Hispanic Technology Executive Council
  • Wilmington, DE FULL_TIME
  • The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand...
  • 2 Months Ago

C
SVP Process Review Manager
  • Citi
  • WILMINGTON, DE OTHER
  • The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand...
  • 2 Months 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
  • Palm Beach Gardens, FL
  • 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

P
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

B
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

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$99,268 to $126,567

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