Medical Policy Manager jobs in Antioch, CA

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)

E
Clinical Data Manager
  • ExThera Medical
  • Martinez, CA FULL_TIME
  • The Role

    The Clinical Data Manager is responsible the clinical trial and database management to oversee and execute clinical data management activities including but not limited to case report form (CRF) design, database setup, review, and validation, data validation, and database lock. In addition, the Clinical Data Manager processes clinical data, including but not limited to the receipt, entry, verification, and generation of data queries to resolve errors and omissions during data entry. 

    A Few Key Responsibilities

    • The Clinical Data Manager will be responsible for performing Data Management activities that support ExThera Medical commercial and development projects worldwide
    • Be able to perform a thoroughly detailed review of eCRF data requirements
    • Support the development of data edit check specifications and data listings
    • Coordinate the design and testing of Electronic Data Capture (EDC) systems according to company standards
    • Able to resolve EDC system issues with team members
    • Able to review and provide feedback to the clinical team on other study documents e.g., Clinical Monitoring plans, Statistical analysis plans and vendor specifications
    • May provide training on the EDC system and/or eCRF Completion Guidelines at Investigator Meetings and to internal and external study team members as needed
    • Perform reconciliation of header data from external data sources against the clinical database
    • Be able to maintain study workbooks and data management files
    • Identify and resolve data flow process issues in collaboration with the project team
    • Contributes to initiatives within the organization, with groups engaged in developing good regulatory practice
    • Interface with other members of the regulatory, clinical, medical affairs and R & D teams to provide support and expertise as needed
    • Assist with the training of new employees and/or contractors
    What You Bring
    • BA/BS, preferably in the scientific/healthcare field, or an equivalent combination of education and work experience
    • 2 years of experience in data management 
    • Medical device and/or in vitro diagnostic experience highly preferred
    • Experience with REDCap Cloud, REDCap academic version, or other electronic data capture software
    • Ability to manage multiple and/complex studies
    • Facility with electronic data capture software
    • Experience and understanding of the Oncology or therapeutic area requiring intensive care, and with Phase III pivotal studies are preferred.
    • Knowledge of applicable regulatory rules and guidelines, such as ICH GCP
    • Ability to work in a regulated environment in compliance to ISO 13485:2016, US CFR, MDD/MDR, CMDR, MDSAP and all other applicable regulations
    • Excellent interpersonal and communication skills
    • Ability to work with clinical site personnel to resolve data queries
    • Ability to work in a team environment and manage competing timelines
    • Highly self-motivated and capable of independent work
    • Proficient with Microsoft Office Suite
    Relocation benefits are not offered for this role. The expected salary range for this position based on the primary location of Martinez, Ca is $140,295 and $153,856.  Actual pay will be determined based on experience, qualifications, geographic location, and other job-related factors permitted by law.
  • 19 Days Ago

E
Sr. Manager, Quality Engineer
  • ExThera Medical
  • Martinez, CA FULL_TIME
  • The RoleThis is a senior-level position that is responsible for the quality engineering oversight of design control and, operations and risk management activities for medical devices manufactured by E...
  • 1 Month Ago

E
Process Chemical Engineering Manager
  • ExThera Medical
  • Martinez, CA FULL_TIME
  • The RoleWe are seeking a highly motivated and experienced Senior Process Chemical Engineer to join our team. The Senior Process Chemical Engineer will play a key role in the design, optimization, and ...
  • 1 Month Ago

M
Clinical Manager
  • Medical One Home Health
  • Antioch, CA PART_TIME
  • ```Duties``` - Oversee the daily operations of the clinic, ensuring efficient and effective delivery of healthcare services- Develop and implement policies and procedures to maintain high standards of...
  • 21 Days Ago

P
Medical Supply Store Manager
  • Proven Recruiting
  • Vacaville, CA FULL_TIME
  • Job description (Assistant) Store Manager – Travis Air Force Base Are you a medical professional looking to switch things up in your career? Our client is a medical supply company looking to grow thei...
  • 6 Days Ago

C
Medical Staff and Credentialing Manager
  • Clinical Management Consultants
  • Clayton, CA FULL_TIME
  • A San Francisco Bay Area Medical Center is seeking a Medical Staff and Credentialing Services Manager to join their team. The Manager Medical Staff Credentialing Services will have administrative over...
  • 25 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Medical Policy Manager jobs found in Antioch, CA area

C
Head of Engineering | Next Gen Biosensor/Proteomics Start-Up | Report to Founder/CEO | San Francisco-based | Retained Search
  • Cornerstone Search Group
  • Head of Engineering | Next Gen Biosensor/Proteomics Start-Up | Report to Founder/CEO | San Francisco-based | Retained Se...
  • 4/18/2024 12:00:00 AM

A
Executive Director/ Sr. Director of Medical Affairs
  • Adicet Bio
  • Redwood City, CA
  • JOIN US! Adicet Bio, Inc. is a clinical stage biotechnology company discovering and developing allogeneic gamma delta T ...
  • 4/18/2024 12:00:00 AM

M
MRI Scheduler - 225341
  • Medix
  • Walnut Creek, CA
  • Medix Staffing Agency is hiring an MRI Scheduler for a reputable Medical Group in the Walnut Creek, CA area. Duties: Han...
  • 4/18/2024 12:00:00 AM

R
Host
  • Romano's Macaroni Grill
  • Milpitas, CA
  • The Hosts role is to provide a "Guest First" service at all times, making the Guest the heart and passion of all they do...
  • 4/18/2024 12:00:00 AM

B
Director of Special Investigations (Workers Compensation)
  • Berkshire Hathaway Homestate Companies
  • Walnut Creek, CA
  • WHO WE ARE Berkshire Hathaway Homestate Companies is dedicated to being the best workers compensation insurance company ...
  • 4/17/2024 12:00:00 AM

M
MRI Scheduler - 225341
  • Medix™
  • Walnut Creek, CA
  • Medix Staffing Agency is hiring an MRI Scheduler for a reputable Medical Group in the Walnut Creek, CA area. Duties: Han...
  • 4/16/2024 12:00:00 AM

C
Customer Advocate
  • Community Choice Financial Family of Brands
  • Antioch, CA
  • Overview: As a Customer Service Representative, you will play an essential part in ensuring that our loyal and new custo...
  • 4/16/2024 12:00:00 AM

L
Psychiatric Nurse Practitioner - Walnut Creek, CA
  • LifeStance Health
  • Walnut Creek, CA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/15/2024 12:00:00 AM

Antioch (formerly, East Antioch, Smith's Landing, and Marshs Landing) is the second largest city in Contra Costa County, California, United States. Located in the East Bay region of the San Francisco Bay Area along the San Joaquin-Sacramento River Delta, it is a suburb of San Francisco and Oakland. The city's population was 102,372 at the 2010 census and estimated to be 110,542 in 2015. Antioch is located at 38°00′18″N 121°48′21″W / 38.00500°N 121.80583°W / 38.00500; -121.80583, along the San Joaquin River at the western end of the San Joaquin-Sacramento River Delta. According to the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$150,734 to $184,015
Antioch, California area prices
were up 2.5% 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