Medical Policy Manager jobs in Allentown, PA

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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Mid-Atlantic Policy Manager
  • Appalachian Mountain Cl
  • Bethlehem, PA FULL_TIME
  • The Appalachian Mountain Club (AMC) is seeking a talented and enthusiastic conservation advocate and public policy professional to lead our coalition-based work to advance conservation and recreation in the Mid-Atlantic Region, based out of Bethlehem, Pennsylvania. A qualified candidate will be enthusiastic about AMC’s conservation mission and approach, have a proven track record as a skilled communicator, and will have experience in community and constituency engagement around public policy issues.

    Responsibilities:
    • Lead AMC's conservation and recreation policy work in the Mid-Atlantic region, including identifying and implementing public policy and advocacy campaigns and initiatives at both the state and federal level, often working in partnership with other non-profit organizations and interest groups in a coalition setting.
    • Organize and coordinate active support for AMC's Mid-Atlantic conservation programs and priority policy issues among our members, the public, and partner organizations.
    • Write and edit compelling pieces, including online action alerts, social media posts, and blog entries, as well as policy memos, testimony, lobbying materials and press releases.
    • Lead and support the Pennsylvania Highlands Coalition in its work to protect the Pennsylvania Highlands region, including the implementation of the Pennsylvania Highlands Coalition strategic plan.
    • Organize and host informational programs and events, such as webinars, meetings, presentations in the Highlands and Delaware River watershed.
    • Engage and cultivate AMC members and volunteers, including coordinating and attending meetings, events, and recreational outings as needed.
    • Represent AMC at regional conferences, press events, and meetings in the Mid-Atlantic region.

    Qualifications and Experiences:
    • Bachelor’s degree (or higher) plus a minimum of 3 years of experience in fields related to: conservation advocacy, land and water protection, environmental policy, issue-based campaign work, volunteer relations, constituency engagement, communications, or related experience, is required.
    • Leadership experience working in a coalition setting, network, or partnership of diverse interests towards a common set of goals.
    • Strong written and verbal communications skills and an ability to effectively reach different audiences with different communications tools.
    • Solid computer skills and a willingness to learn more as needed
    • Ability to work both independently and as part of a team.
    • Proven experience in working effectively to support and engage volunteers and other constituents often of a varied background and experience level.
    • Must have a valid driver’s license and willingness to work occasional evenings and weekends, as well as a willingness to travel throughout the Mid-Atlantic region as needed.
    • Physical abilities required: Majority of work is performed in a standard office setting. Ability to occasionally travel safely in the backcountry in all weather conditions carrying a backpack of up to 20 pounds is preferred. Must be able to sit, stand, walk, and operate standard office equipment.

    To Apply: Please include your resume and a cover letter when applying. No phone calls, please.

    The Appalachian Mountain Club has zero tolerance for child abuse or placing children in danger. The AMC requires all employees to have a criminal background record check performed on their name annually with employment contingent upon satisfactory results.

    The AMC is an Equal Opportunity Employer and values diversity in the workplace. The AMC encourages the involvement of all people in its mission and activities, through its membership, programs, policies, and procedures. Our goal is to be a community that is comfortable, inviting, and accessible for people of any age, gender, race, religion, ethnicity, ability, sexual orientation, or socioeconomic status. Join us!

  • 19 Days Ago

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Mid-Atlantic Policy Manager
  • Appalachian Mountain Cl
  • Bethlehem, PA FULL_TIME
  • The Appalachian Mountain Club (AMC) is seeking a talented and enthusiastic conservation advocate and public policy professional to lead our coalition-based work to advance conservation and recreation ...
  • 1 Month Ago

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Patient Care Advocate
  • Oakland Manager LLC dba Justice Grown
  • Bethlehem, PA FULL_TIME
  • The Patient Care Advocate (PCA) is responsible for creating an exceptional customer experience for our medical dispensary patients. This role ensures all sales are compliant with state regulations, th...
  • 1 Month Ago

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Associate Product Manager/Product Manager
  • Tyber Medical LLC
  • BETHLEHEM, PA FULL_TIME
  • Description The Associate Product Manager/Product Manager handles daily administrative tasks, conducts market research, gathers consumer behavior data, creates reports on marketing metrics, assists in...
  • 1 Month Ago

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Medical Case Manager - Hybrid
  • Crawford & Company
  • Allentown, PA FULL_TIME
  • Responsibilities Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to medical case resolution ...
  • 1 Month Ago

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Manager of Regulatory Affairs
  • Tyber Medical LLC
  • Bethlehem, PA FULL_TIME
  • DescriptionResponsible for managing the regulatory affairs activities throughout the organization. Manages and compiles regulatory submissions in the USA, EU and other jurisdictions as required. Requi...
  • 13 Days Ago

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0 Medical Policy Manager jobs found in Allentown, PA area

Allentown (Pennsylvania Dutch: Allenschteddel) is a city located in Lehigh County, Pennsylvania, United States. It is Pennsylvania's third most populous city and the 231st largest city in the United States. As of the 2010 census, the city had a total population of 118,032 and is currently the fastest growing city in all of Pennsylvania. It is the largest city in the metropolitan area known as the Lehigh Valley, which had a population of 821,623 residents as of 2010[update]. Allentown constitutes a portion of the New York City Combined Statistical Area and is the county seat of Lehigh County. ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$131,892 to $161,014
Allentown, Pennsylvania area prices
were up 1.5% from a year ago

Medical Policy Manager in Casper, WY
The Medical Policy Portal offers streamlined navigation to the various types of policies available.
February 14, 2020
Medical Policy Manager in Saint Paul, MN
The expanded policy, called the Air Force Memorandum for Appearance and Accession Standards Review, gives applicants with previously disqualifying medical conditions a second chance on a case-by-case basis.
February 12, 2020
Medical Policy Manager in Atlantic City, NJ
Get the latest updates to Blue Cross NC's medical policies.
January 14, 2020