Medical Policy Manager jobs in Akron, OH

Medical Policy Manager manages and implements corporate policy and process for medical provider and other reimbursements. Ensures that all claims are reviewed, settled, and processed in compliance with and according to contract provisions and regulatory requirements. Being a Medical Policy Manager evaluates and develops policies and provider reimbursement guidelines to effectively manage and control medical claims cost. Requires a bachelor's degree of finance, business or healthcare administration. Additionally, Medical Policy Manager typically reports to head of a unit/department. The Medical Policy 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 Policy 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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Policy Support Specialist
  • Westfield Careers
  • Westfield, OH FULL_TIME
  • Job Title:Policy Support Specialist     
    Employee Status: Regular 
    Schedule: Full-time 
    Location: Hybrid - defined as three days in office if residence is within 50 miles of Westfield Center, OH or Remote - if residence is over 50 miles from Westfield Center, OH

    About Us:
    You’re ready to make your mark where people care about each other. Where your work is meaningful. And where your unique perspectives are welcome. Think about joining Westfield, a company focused on what’s most important – the people behind our policies.  


    Westfield was founded in 1848 by a small group of hard-working farmers who believed in the promise of the future and the power of the individual. Today, as one of the nation’s leading property and casualty (P&C) companies, we remain true to their vision and are dedicated to making a positive difference in our customers’ lives.

    Responsibilities :

    • Utilizes multiple systems to run MVR activity for new, renewal and endorsement accounts. Will communicate with underwriting business partners with driver activity based on guidelines in place.
    • Will pull, print, and validate history declaration of policies in order to certify as requested by our claims department.
    • Sorts, matches, and prepares printed policies, quotes and amendments for distribution to policyholders and agency business partners.
    • Maintains a working knowledge of all state exceptions and procedures. Creates and maintains templates for state specific documents and for manual typing purposes.
    • As assigned, may be required to do a single task for a given period of time or perform multiple tasks based on need and capacity of team.
    • May conduct or assist with training initiatives related to typing and assembly responsibilities.
    • Participates in the compliance review process to ensure quality within all typing and assembly procedures.
    • Uses the 5.3 system to order history declarations of automated policies.
    • May provide mentoring support and problem resolution for business partners including underwriters, leaders, CLPP, or Legal department.


    Qualifications: 

    • Experience being accurate with a focus on attention to details.
    • Experience providing excellent customer service.
    • Experience entering and/or transferring data through a computer system or process.
    • Experience with Microsoft Windows and Office (Outlook, Word, Excel) or other transferable software or email.
    • Solid oral, written, and interpersonal communication skills.
    • Strong organizational skills gained through previous work experiences.
    • Experience working in a fast-paced environment while prioritizing and completing work effectively.
    • Experience analyzing problems and developing strategies for resolution.
    • High School diploma, GED, or commensurate experience.
    • Physical  essential functions: ability to work 40 hours in an office environment (sitting, standing, on a computer, etc.), operate office related technology (computer, phone, etc.), travel as required.

    Westfield offers a Total Rewards program that focuses on compensation, benefits and wellness, and includes perks like 401(k), pension plan, annual incentive, education reimbursement, flex-time, onsite fitness center or gym reimbursement and casual dress. Work/life balance, recognition, and learning and career development are all part of a rewarding career with Westfield. 

    Learn more about current opportunities at www.westfieldinsurance.com/careers.


    We are an equal opportunity employer/minority/female/disability/protected veteran.

    #LI-KF1

  • 22 Days Ago

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Clinical Marketing Manager
  • ForTec Medical
  • Hudson, OH FULL_TIME
  • Company DescriptionForTec Medical is an industry leader, dedicated to improving patient health by delivering innovative surgical technologies to our healthcare customers on demand. Our dedicated team ...
  • 6 Days Ago

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Human Resources Manager
  • ForTec Medical
  • Hudson, OH FULL_TIME
  • Company DescriptionForTec Medical is an industry leader, dedicated to improving patient health by delivering innovative surgical technologies to our healthcare customers on demand. Our dedicated team ...
  • 21 Days Ago

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Certified Dietary Manager
  • American Medical Associates
  • Akron, OH FULL_TIME
  • A premier assisted living and skilled nursing care facility located in Akron, OH is looking for a strong Certified Dietary Manager (CDM) Certified Dietary Manager (CDM) is responsible for managing the...
  • 4 Days Ago

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Dialysis Clinical Manager
  • Fresenius Medical Care
  • Cuyahoga Falls, OH FULL_TIME
  • PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirement...
  • 25 Days Ago

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Dialysis Clinical Manager - Area Float
  • Fresenius Medical Care
  • Akron, OH FULL_TIME
  • PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirement...
  • 25 Days Ago

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0 Medical Policy Manager jobs found in Akron, OH area

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RN Case Manager
  • Hiring Now!
  • Akron, OH
  • OurRegistered Nurse Case Managers (RNCM)have been called to care whentheyreneeded most. At Interim HealthCare,youllsuppo...
  • 4/18/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Medina, OH
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/18/2024 12:00:00 AM

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RN Case Manager
  • Interim HealthCare
  • Akron, OH
  • Our Registered Nurse Case Managers (RNCM) have been called to care when they’re needed most. At Interim HealthCare, you’...
  • 4/15/2024 12:00:00 AM

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Caregiver
  • Empowered Community Services LLC
  • Cleveland, OH
  • Job Description Job Description Benefits/Perks Competitive Wages Paid Time Off Monday-Friday - Day Hours Company Sponsor...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Akron, OH
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Akron, OH
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Medina, OH
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Medina, OH
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

Akron (/ˈækrən/) is the fifth-largest city in the U.S. state of Ohio and is the county seat of Summit County. It is located on the western edge of the Glaciated Allegheny Plateau, about 30 miles (48 km) south of Cleveland. As of the 2017 Census estimate, the city proper had a total population of 197,846, making it the 119th-largest city in the United States. The Greater Akron area, covering Summit and Portage counties, had an estimated population of 703,505. The city was founded in 1825 by Simon Perkins and Paul Williams, along the Little Cuyahoga River at the summit of the developing Ohio and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$126,266 to $154,145
Akron, Ohio area prices
were up 1.6% from a year ago

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