Medical Policy Manager jobs in Bangor, ME

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-grade Policy and Concepts
  • Client Server Software Solutions
  • Waterville, ME FULL_TIME
  • Provide Advisory and Assistance Support (A&AS) to support the NC3 Enterprise Center with the day-to-day responsibility for overseeing and managing NC3 Operations, maintaining enterprise-wide visibility, assessing comprehensive operational and technical risk, and, with the active NC3 Enterprise Stakeholder participation, developing, presenting, and advocating future capabilities, risk management options, and prioritization recommendations to the Chairman Joint Chief of Staff (CJCS) and Deputy Secretary of Defense (Dep Sec Def) on behalf of all NC3 Stakeholders. The focus of this task order is for the contractor to provide subject matter expertise in conducting systems analysis, systems engineering, technical analysis, solution integration, operations assessment, operations analysis, risk management, requirements identification, requirements advocacy, intelligence assessments, technology identification, identifying future concepts and architectures, and other assigned tasks supporting CDRUSSTRATCOM's ability to plan and execute Strategic Deterrence and NC3 operations to accomplish the mission as outlined in the National Defense Strategy.

    Position Requirements:

    At least 5 years of experience in the following:

    NC2/NC3 operation capabilities and procedures, and experience in the operations platforms, communications, and modes of operations, to include current efforts in developing survivable and endurable NC2/NC3 capabilities. Fully understand critical command and control requirements and operational concepts inherent in each of the documents and highly competent at articulating interoperable capabilities into NC2 and NC3 Operational requirements utilizing national, DOD, and CJCS guidance with specific knowledge of: CJCS Emergency Action Procedures, USSTRATCOM Emergency Action Procedures, and CJCS Instructions.

    At least 3 years of experience:

    • Developing responses for Senior-level decision documentation and plans (CONOPS, OPLANS, OPORDs, and measured prioritizations) at the Combatant Command, Joint Staff, or DOD OSD levels.
    • Staffing complex packages and adjudicating content.
    • Experience with participating in various/NC3 forums including, but not limited to: NC2/NC3 Issues Working Groups, Policy and Procedures working groups, and others.


    We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, gender identity, national origin, disability status, protected veteran status or any other characteristic protected by law. Constellation West will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

    ABOUT THE ORGANIZATION

    Constellation West is an award-winning company that delivers Information Technology (IT) engineering services and solutions along with non-IT subject matter expertise worldwide. Established in 1997, Constellation West is an industry leader, partnering with key organizations. As a prime contractor or preferred subcontractor, we have a continual list of opportunities to fill nationwide with multiple agencies such as the Department of Veteran Affairs, the Department of Defense, civilian agencies, and the national intelligence community. Many of the positions supporting U.S. federal government require our employees be granted security clearances.

    Constellation West provides fully integrated solutions spanning all aspects of system/network engineering, system/network administration, data management, information assurance, quality assurance, full lifecycle support, software development, and geospatial information services. Constellation West looks for the right people ready to step up and be part of a dynamic team.

    If you are looking for a new challenge and a rewarding opportunity to apply your expertise, knowledge, and problem solving skills, come join our team! Constellation West offers competitive salary and benefits including:

    • Tuition reimbursement
    • Competitive 401(k) plan
    • Competitive Health Benefits
    • 11 Paid Holidays!!
    • 15 PTO Days!
    • Veteran Hiring Preference

    Constellation West is proud to be an EEO/AA employer M/F/D/V

  • 17 Days Ago

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MANAGER LABORATORY
  • Cary Medical Center
  • Caribou, ME OTHER
  • DescriptionCary Medical Center has an exciting opportunity for a Laboratory Manager. The Lab Manager is responsible for the day-to-day operations of Laboratory Services, with a primary focus on qualit...
  • 27 Days Ago

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Nurse Manager - Medical Surgical
  • MaineHealth
  • Rockport, ME FULL_TIME
  • Pen Bay Medical Center is currently seeking a full time Nurse Manager of the Med Surg Unit to join their leadership team! This role will work directly with the Director of Acute and Critical Care. The...
  • 18 Days Ago

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Territory Manager - Maine
  • Zoll Medical Corporation
  • Bangor, ME FULL_TIME
  • Territory Manager - Maine Location: Bangor, ME Cardiac Management Solutions At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that m...
  • 6 Days Ago

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RN CASE MANAGER 36hr
  • Cary Medical Center
  • Caribou, ME FULL_TIME
  • Description: Status: 36hr/wk Job Summary: The Case Manager is accountable for the organization, and resources that are necessary and appropriate for the achievement of patient outcomes within effectiv...
  • 30 Days Ago

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LPN - Medical Flex
  • OneStaff Medical
  • Eagle, ME FULL_TIME
  • OneStaff Medical is seeking a LPN / LVN for a travel job in Eagle Lake, Maine. Start Date:ASAP~ Shift: 12 hours, days ~ Employment Type: Travel Works with complex wound dressings, rehabilitation, tube...
  • 25 Days Ago

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0 Medical Policy Manager jobs found in Bangor, ME area

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Assistant Restaurant Manager
  • Flynn Group
  • Bangor, ME
  • Applebee’s Neighborhood Grill and Bar We are part of Flynn Group, the largest Franchisee in the United States operating ...
  • 4/23/2024 12:00:00 AM

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KFC Restaurant General Manager
  • KFC
  • Bangor, ME
  • Looking for a rewarding career in the fast-food industry? KBP Foods, a leading franchisee of KFC, is hiring a Restaurant...
  • 4/23/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $2,240 per week
  • Hiring Now!
  • Bangor, ME
  • Travel Nurses, Inc. is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Bangor, Maine. ...
  • 4/23/2024 12:00:00 AM

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Project Estimator (Mechanical Contractor)
  • Rosso Recruiting
  • Bangor, ME
  • About the Role: Early to Mid Career HVAC Estimator Professional open to new opportunities with growth and advancement? W...
  • 4/23/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $2,016 per week
  • PRN Healthcare
  • Bangor, ME
  • RTG Medical-Nursing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Bangor, Maine. ...
  • 4/23/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $2,178 per week
  • Hiring Now!
  • Bangor, ME
  • RTG Medical-Nursing is seeking a travel nurse RN Telemetry for a travel nursing job in Bangor, Maine. Job Description & ...
  • 4/23/2024 12:00:00 AM

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Container Delivery Driver - Helper
  • Casella Waste Systems Inc.
  • Bangor, ME
  • ## Position Summary The Container Delivery Driver - Helper will be responsible for safely driving along customer routes ...
  • 4/23/2024 12:00:00 AM

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Psychiatric Mental Health Nurse Practitioner - Remote
  • Rula Health
  • Bangor, ME
  • Who we are Rula is a comprehensive behavioral health solution, dedicated to making mental health care work for everyone....
  • 4/22/2024 12:00:00 AM

Bangor is located at 44°48′N 68°48′W / 44.8°N 68.8°W / 44.8; -68.8. According to the United States Census Bureau, the city has a total area of 34.59 square miles (89.59 km2), of which 34.26 square miles (88.73 km2) is land and 0.33 square miles (0.85 km2) is water. A potential advantage that has always eluded exploitation is the city's location between the port city of Halifax, Nova Scotia, and the rest of Canada (as well as New York). As early as the 1870s, the city promoted a Halifax-to-New York railroad, via Bangor, as the quickest connection between North America and Europe (when combin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$125,350 to $153,027
Bangor, Maine area prices
were up 1.6% from a year ago

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