Medical Policy Manager jobs in Albuquerque, NM

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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Campaigns Director
  • Center for Civic Policy
  • Albuquerque, NM FULL_TIME
  • Job Title: Campaigns Director 

     

    Reports to: Chief Operating Officer, Melanie Aranda 

     

    Job Purpose: [Using independent judgment and discretion], Contributes to the overall success of CCP by taking a leadership role in as campaign manager for civic engagement strategies within strategic initiative issue campaigns, and effectively advocating and effectively communicating with team members, policy-makers, and allied organizations. The Campaigns Director will work with non-profit organizations and advocacy organizations in building and coordinating year-round civic and voter engagement programs. 


    Primary Duties and Responsibilities


    • Independently Leads the planning and implementation of CCP/NM C3 Table strategic initiative, policy civic engagement campaigns, voter registration and Get Out the Vote campaigns in the field. 
    • Supports the CCP strategy team and Policy Director to implement civic engagement strategies to support policy advocacy campaigns and civic engagement campaigns that advance CCP’s mission and vision.
    • Independently leads and ensures that recruitment goals are met for the duration of the campaign.
    • Independently lead the development and implementation of the field and advocacy plan for campaigns.
    • Independently manage and supervise partner organizations, organizers/canvassers during Table led campaigns in alignment with CCP values.
    • Communicate and collaborate with CCP Chief Operating Officer to plan, develop and implement a budget that meets the campaign goals. 
    • Independently lead and track the campaign progress, results, and present reports as requested. 
    • Support the following departments or leaders: Campaigns, Advocacy, Communications, Digital, Logistics, and other. 


    Table Planning and Coordination:  

    • Independently lead and oversee the implementation and evaluation of the table’s coordinated civic engagement plans including data management, field training, voter registration, education and mobilization, and / or legislative programs.  
    • Support table partners with  strategic program development, development of shared metrics and evaluations, innovate new approaches, long and short-term organizing strategies and engagement of new allies and potential partners.
    • Support organizational partners in developing strategic civic and voter engagement plans that encourage year-round civic engagement programs including issue education and organizing and voter registration and mobilization.  



    Secondary Duties and Responsibilities

    • Participates in CCP’s Race, Gender, and Equity work both internally and with partners.  
    • Maintains a working knowledge of local, state, and national political/public policy news.  
    • Supports the Chief Operating Officer in completing administration tasks.  
    • Supports the Chief Executive Officer and the Chief Operating Officer in training allies to manage and implement campaign plans. 
    • Supports the Chief Executive Officer in communicating CCP’s work to current and potential funders, as requested.

    Qualifications

    Knowledge, Skills and Abilities

     

    •  Research: Intermediate experience with research design both quantitative and qualitative research.  Uses independent judgment and discretion to effectively communicate that research to internal and external teams and allies.


    • Remains Informed: Understands local, state and national political and public policy landscape.  


    • Behaves Ethically: Understands ethical behavior and business practices and ensures their own behavior and the behavior of others is consistent with these standards and aligns with the values of the organization.

     

    • Builds Relationships: Establishes and maintains positive working relationships with others both internally and externally to achieve the goals of the organization.

     

    • Communicates Effectively: Speaks, listens and writes in a clear, thorough and timely manner using appropriate and effective communication tools and techniques.

     

    • Focuses on Allies Needs: Anticipates, understands and responds to the needs of internal and external allies to meet or exceed their expectations within the organizational parameters.

     

    • Fosters Teamwork: Works cooperatively and effectively with others to set goals, resolve problems and make decisions that enhance organizational effectiveness.

     

    • Leads: Positively influences others to achieve results that are in the best interest of the organization.

     

    • Makes Decisions: Assesses situations to determine the importance, urgency and risks, and make clear decisions which are timely and in the best interests of the organization

     

    • Organizes: Sets priorities, develops a work schedule, monitors progress towards goals, and tracks details, data, information and activities.

     

    • Plans: Determines strategies to move the organization forward, sets goals, creates and implements action plans, and evaluates the process and results.

     

    • Solves Problems: Assesses problem situations to identify causes, gather and process relevant information, generates possible solutions, and make recommendations and/or resolves the problem.

     

    • Technology: Maintains proficiency in MS Office applications, Email and Internet.


    Experience

    • Bachelor’s degree required or minimum 5 years of experience with issue and or political campaigns or
    • Minimum 1-2 years of  experience with issue and or political campaigns
    • Minimum 1-2 years of experience in facilitation


    Requirements

    • Lived experience in frontline communities; this includes Black, Indigenous, and POC communities and low-income and working-class communities
    • Cultural competence, commitment to equity, and demonstrates ability to build diverse, equitable, and inclusive organizations;
    • Demonstrates understanding and role of community organizing and participatory processes in policy setting and public policy advocacy
    • Deep commitment to grassroots power-building and policy development


    Limitations and Disclaimer

    The above job description describes the general nature and level of work expected and not an exhaustive list of all responsibilities, duties, and skills required. The team member may be required to perform duties outside of their everyday responsibilities from time to time, as needed.


    Salary

    The starting salary range for this position is $60,000 - $70,000 annually depending on experience.

    The final salary will be based on an internal equitable scale that takes into consideration years of experience, educational attainment, management responsibilities, and final job description. We also offer a robust benefits package for full-time employees including paid time off; 100% of health, dental, vision, life, short term disability, critical illness, cancer assist insurance; retirement plan; professional development funding; remote work reimbursements, and on-site childcare for employees with children. CCP prides itself on developing family-friendly policies and currently, we are at the Platinum level with the NM Family Friendly Business Awards.


    Discrimination language

    CCP’s work environment is safe and open to all employees and partners, respecting the full spectrum of race, color, religious creed, sex, gender identity, sexual orientation, national origin, political affiliation, ancestry, age, disability, genetic information, veteran status, and all other classifications protected by law in the locality and/or state in which you are working.

  • 22 Days Ago

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Non-Medical Case Manager - Truman
  • UNM Medical Group
  • Albuquerque, NM FULL_TIME
  • UNM Medical Group, Inc. is hiring for a Non-Medical Case Manager to join our Truman Health Services team. This opportunity is a full-time day shift opening located in Albuquerque, New Mexico. Minimum ...
  • 12 Days Ago

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Medical Case Manager - Chronic Care
  • UNM Medical Group
  • Albuquerque, NM FULL_TIME
  • UNM Medical Group, Inc. is hiring for a Medical Case Manager to join our Truman Health Services team. This opportunity is a full-time day shift opening located in Albuquerque, New Mexico. Minimum $52,...
  • 1 Month Ago

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POLICY ANALYST
  • quantum-intl
  • ALBUQUERQUE, NM FULL_TIME
  • Job Title POLICY ANALYST Education Bachelor's Degree Location ALBUQUERQUE, NM - , 87117 US (Primary) Career Level Experienced (Non-Manager) Category Intelligence/Military Analyst Salary Grade Job Type...
  • 1 Month Ago

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POLICY ANALYST
  • Quantum Research Int'l
  • Kirtland, NM FULL_TIME
  • Job Description: Overview: Quantum Research International, Inc. (Quantum) is a certified DoD Contractor providing services and products to US/Allied governments and industry in the following main area...
  • 26 Days Ago

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Healthcare Attorney/Policy Advocate
  • New Mexico Center on Law and Poverty
  • Albuquerque, NM FULL_TIME
  • The New Mexico Center on Law and Poverty seeks a full-time attorney to join our Workers’ Rights team, ready to fight to improve pay and conditions for hardworking New Mexicans. We pursue advocacy and ...
  • 20 Days Ago

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0 Medical Policy Manager jobs found in Albuquerque, NM area

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Outpatient (IOP/PHP) Remote 2500 Hiring Bonus
  • Haven Behavioral Healthcare
  • Albuquerque, NM
  • Remote Option Available Part Time Evenings Must be an LMSW or LMHC Be the catalyst for development and lasting change in...
  • 4/25/2024 12:00:00 AM

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Dialysis Social Worker-MSW
  • Dialysis Clinic, Inc.
  • Albuquerque, NM
  • Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize ind...
  • 4/25/2024 12:00:00 AM

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Medical Receptionist
  • Total Balance Healthcare Llc
  • Albuquerque, NM
  • Job Description Job Description We are seeking a Medical Receptionist to become a part of our team! You will perform rou...
  • 4/25/2024 12:00:00 AM

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Clinical Research Mgr - Division of Epidemiology
  • University Of New Mexico
  • Albuquerque, NM
  • Clinical Research Mgr Requisition ID req28584 Working Title Clinical Research Mgr - Division of Epidemiology Position Gr...
  • 4/25/2024 12:00:00 AM

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Clinical Medical Director
  • Optum
  • Albuquerque, NM
  • The Clinical Medical Director, is a member of the leadership team and responsible for the quality, cost and service leve...
  • 4/24/2024 12:00:00 AM

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Insurance Verification Specialist/Front Desk
  • New Haven Behavioral Health Services
  • Albuquerque, NM
  • Job Description Job Description Job Summary Verifies insurance policy benefit information and obtains Authorization/ Pre...
  • 4/24/2024 12:00:00 AM

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Psychiatric Nurse Practitioner
  • Chrysalis Psychiatry
  • Albuquerque, NM
  • Job Description Job Description Chrysalis Psychiatry is a growing outpatient mental health practice in Albuquerque, New ...
  • 4/23/2024 12:00:00 AM

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Outpatient (IOP/PHP) LMSW or LMHC 5k Hiring Bonus
  • Haven Behavioral Healthcare
  • Albuquerque, NM
  • Full Time Be the catalyst for development and lasting change in your patient’s lives! Make a difference! Haven provides ...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, Albuquerque has a total area of 189.5 square miles (490.9 km2), of which 187.7 square miles (486.2 km2) is land and 1.8 square miles (4.7 km2), or 0.96%, is water. Albuquerque lies within the northern, upper edges of the Chihuahuan Desert ecoregion, based on long-term patterns of climate, associations of plants and wildlife, and landforms, including drainage patterns. Located in central New Mexico, the city also has noticeable influences from the adjacent Colorado Plateau semi-desert, Arizona-New Mexico Mountains, and Southwest plateaus and plains ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$122,994 to $150,151
Albuquerque, New Mexico area prices
were up 2.5% from a year ago

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