Medical Policy Manager jobs in Atlanta, GA

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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Eligibility Policy Manager - 00203660
  • - Team Georgia Careers
  • Atlanta, GA FULL_TIME
  • Please visit the DCH jobsite link to review the job posting and apply:

    If interested, please apply to:

    https://www.governmentjobs.com/careers/dchga/jobs/4455115/eligibility-policy-manager-00203660

    Applicants who do not apply using the DCH Jobsite link provided above will NOT be considered.

    For other DCH career opportunities,

    please visit: https://dch.georgia.gov/dch-employment

    The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP) and Healthcare Facility Regulation, impacting one in four Georgians.

    Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and under-served populations. Six enterprise offices support the work of the agency’s three program divisions. DCH employees are based in Atlanta, Cordele and across the state. 

    The Department of Community Health is seeking qualified candidates for the Eligibility Policy Manager in the Medical Assistance Plans Division.  This is a hybrid position that requires in-office and remote work with the approval of the supervisor.  The days and frequency in the office can change at any time during employment based on the business needs of the organization.

    Please visit the DCH jobsite link to review the job posting and apply:

    If interested, please apply to:

    https://www.governmentjobs.com/careers/dchga/jobs/4455115/eligibility-policy-manager-00203660

    Applicants who do not apply using the DCH Jobsite link provided above will NOT be considered.

    For other DCH career opportunities,

    please visit: https://dch.georgia.gov/dch-employment

    Bachelor's degree in a related field from an accredited college or university AND Four years of experience managing professional level staff OR Eight years of related professional experience AND Four years managing at the level equivalent to area of assignment OR Four years of experience required at the lower level Mgr 2, Business Ops (GSM011) or position equivalent. Note: An equivalent combination of education and job specific experience that provided the knowledge, experience and competencies required to successfully perform the job at the level listed may be substituted on a year-over-year basis.
    Additional Information
  • 13 Days Ago

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Policy Manager, South
  • REFORM Alliance
  • Atlanta, GA FULL_TIME
  • Organization Overview REFORM is committed to transforming probation and parole throughout the United States by changing laws, systems, and culture. The organization is working to replace America’s cri...
  • 15 Days Ago

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Eligibility Policy Manager - 00203660
  • Georgia Department of Community Health
  • Atlanta, GA FULL_TIME
  • Pay Grade: NThe Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency fo...
  • 3 Days Ago

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Director of Market Access, Reimbursement and Medical Policy
  • Avanos
  • Alpharetta, GA FULL_TIME
  • Requisition ID: 5847 Job Title: Director of Market Access, Reimbursement and Medical Policy Job Country: United States (US) Here at Avanos Medical, we passionately believe in three things: Making a di...
  • 6 Days Ago

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Cleaner
  • Aware Manager
  • Atlanta, GA PART_TIME,FULL_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 18 Days Ago

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Health Policy Manager, Surgical and Wound Care
  • Mimedx Group Inc.
  • Marietta, GA FULL_TIME
  • Function as internal Subject Matter Expert for surgical, inpatient, and operating room reimbursement. Develop internal and external reimbursement and economic training, tools, and messaging. Seek cove...
  • 7 Days Ago

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0 Medical Policy Manager jobs found in Atlanta, GA area

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Ultrasound Technologist Sonographer
  • Athena Medical Management
  • Lawrenceville, GA
  • Job Description Job Description Well-established Women's Medical Imaging organization is seeking an RDMS-certified Ultra...
  • 4/18/2024 12:00:00 AM

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Workers Comp/Personal Injury Coordinator
  • Medical Management Associates
  • Atlanta, GA
  • Seeking Experienced Workers Compensation/Personal Injury Coordinator for Boutique Ortho Practice in Atlanta! Part-Time o...
  • 4/17/2024 12:00:00 AM

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Practice Manager
  • Medical Management Associates
  • Atlanta, GA
  • Growing Eight (8) Provider, Specialty Practice in Metro Atlanta/Sandy Springs area Seeking Experienced Medical Practice ...
  • 4/17/2024 12:00:00 AM

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Associate
  • Medical Management Associates
  • Atlanta, GA
  • Management Consultant. Associate. This is full-time, role for an Entry Level Associate Consultant. Duties will include h...
  • 4/17/2024 12:00:00 AM

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Practice Manager
  • Medical Management Associates
  • Atlanta, GA
  • Growing Eight (8) Provider, Specialty Practice in Metro Atlanta/Sandy Springs area Seeking Experienced Medical Practice ...
  • 4/16/2024 12:00:00 AM

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Workers Comp/Personal Injury Coordinator
  • Medical Management Associates
  • Atlanta, GA
  • Seeking Experienced Workers Compensation/Personal Injury Coordinator for Boutique Ortho Practice in Atlanta! Part-Time o...
  • 4/16/2024 12:00:00 AM

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Certified Medical Assistant
  • Medical Management Associates
  • Marietta, GA
  • EXPERIENCED CLINICAL TRIAGE COORDINATOR (CMA) POSITION AVAILABLE FOR MULTI-PROVIDER NEPHROLOGY PRACTICE IN MARIETTA! NO ...
  • 4/16/2024 12:00:00 AM

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Psychiatrist - Atlanta, GA
  • LifeStance Health
  • Atlanta, GA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/14/2024 12:00:00 AM

Atlanta (/ætˈlæntə/) is the capital of, and the most populous city in, the U.S. state of Georgia. With an estimated 2017 population of 486,290, it is also the 38th most-populous city in the United States. The city serves as the cultural and economic center of the Atlanta metropolitan area, home to 5.8 million people and the ninth-largest metropolitan area in the nation. Atlanta is the seat of Fulton County, the most populous county in Georgia. A small portion of the city extends eastward into neighboring DeKalb County. Atlanta was originally founded as the terminating stop of a major state-sp...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$128,097 to $156,381
Atlanta, Georgia area prices
were up 1.4% from a year ago

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