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The graph below is a comparison of salary data for 10 jobs in Alhambra, California, as provided by the free SalaryExpert® Salary Report and Salary Calculator. If you are a professional who requires compensation survey data for your work please consult ERI Economic Research Institute's Salary Assessor.

Medical Claims Review Manager:
Manages the medical claims review... [+] More

Medical Claims Review Manager:
Manages the medical claims review staff to ensure process improvement and quality in claims review. This position typically requires a Bachelor’s degree with five years of medical review experience. This position may require a nursing degree.

Manages the medical claims review staff to ensure process improvement and quality in claims review. Translates benefit plan language (Summary Plan Descriptions) into standard review program procedures. Interfaces with clients to conduct/manage random sample reviews to determine medical claims processing accuracy and timeliness. Works with clients to coordinate operational reviews to assess administrative processes and controls. Reviews company claims, eligibility, provider, and medical management systems to identify issues affecting quality and productivity. Documents findings and write follow-up reports. Provides planning, organizing and budgeting for the department. Develops, administers and reports service quality indicators for each team under supervision. Recommends and implements innovative strategies to retain members, contain medical costs and improve efficiency. Hires, trains, coaches, counsels and evaluates performance of direct reports. This position typically requires a Bachelor’s degree with five years of medical review experience. This position may require a nursing degree. (Source: eDOT Job Description) [-] Less

A renter's cost of living for someone making $103,020 in Alhambra, California is 116.2% of the US National Average. For more information, or to compare cost of living data between two cities, click here.

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Utilization Review Director, Utilization Review Manager, Utilization Review/Quality Assurance Director, Utilization Review Supervisor, Utilization Review Coordinator, Medical Claims Review Nurse, Utilization Review/Quality Assurance Coordinator, Banking Loan Review Analyst, Analyst Loan Review, Loan Review Analyst, Correspondence Review Clerk, Insurance Review Clerk, Clerk Insurance Review, Insurance Claims Clerk, Claims Quality Audit Manager, Central Supply Manager Medical, Claims Manager, Subrogation Claims Manager, Manager Claims, Medical Services Manager, Medical Unit Manager, Claims Adjudicator Medical, Housekeeping Manager Medical Facility

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