Medical Management - Supervisor Medical Review 145-4005
CommunityCare
About this role
The Medical Review Supervisor oversees the daily operations and personnel of CommunityCare's medical claim review program. They provide technical expertise in analyzing and monitoring claims, identify issues related to medical necessity and quality, and collaborate with external vendors and internal departments to ensure compliance and detect potential fraud, waste, and abuse.
Skills
Qualifications
About CommunityCare
ccok.comCommunityCare is an Oklahoma-based health insurance provider offering Individual & Family coverage, Medicare plans (including Medicare Advantage), and employer Group plans. Their product lineup includes HMO and PPO options plus online enrollment, claims, and renewal resources. CommunityCare emphasizes local provider networks, member support tools, and care‑management resources to help members access care and manage costs.
About CommunityCare
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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Salary
$104k – $142k
per year
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