Medical Policy Manager jobs in Boston, MA

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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Policy Manager
  • Planned Parenthood League of Massachusetts
  • Boston, MA FULL_TIME
  • Care. No matter what:

    PPLM has been a leader in promoting sexual health for more than 90 years.  We believe that all people deserve the information and expert services to make informed, personal decisions that affect their health, their lives and their futures.  We are the state’s leading provider of sexual and reproductive health services. We educate families and empower youth to make responsible choices that lead to healthier lives.  We advocate for policies that improve sexual health.


    Our Commitment to Diversity, Equity and Inclusion:

    PPLM believes sexual health is essential to every person’s overall health, well-being and happiness. We recognize that geographical and systemic barriers entrenched in discrimination and stigma prevent people in Massachusetts from having equitable opportunity to choose their own path and access to sexual and reproductive health care. In order to address health equity in communities across Massachusetts in an authentic way, we must start with ourselves. We are taking focused steps to make progress in our own organization. We have embarked on a diversity, equity and inclusion journey that will lead us toward becoming an organization that better reflects our patients and embodies cultural humility. We are wholeheartedly committed to this work.


    POSITION SUMMARY:


    The Planned Parenthood Advocacy Fund of Massachusetts (PPAF) seeks a highly motivated, detail oriented and experienced professional to manage the organization’s health policy work. The Policy Manager coordinates the legal and policy research within the external affairs department and supports the External Affairs’ team policy advocacy efforts. They help research, develop, and implement health policy work on the municipal, state, and federal levels. This includes ensuring health policy is coordinated in ways that lead to the improvement of equitable access to sexual and reproductive health care, building and sustaining PPAF’s power and role in the movement for reproductive rights, health and freedom, and centering PPAF’s programs around health equity and racial justice.


    The Policy Manager will oversee the legal and policy research that PPLM/PPAF conducts, including identifying research topics and funding opportunities, working closely with a legal consultant on ongoing grant-funded research, and managing the team’s legal co-ops each semester and summer. This role involves significant coordination with relevant teams across the organization in order to bring research to fruition.


    The person in this role will also develop relationships with coalition partners and governmental agencies. These relationships will help identify and pursue opportunities that ensure advancement of our health policy program aligned with our strategic goals. This work includes coordinating actions with our different departments within PPLM and PPAF to develop policy strategy.

    This role reports directly to the Director of Health Policy and Government Relations and works closely with other members of the External Affairs team, as well as the ASPIRE Center and Equity and Engagement team.



    Compensation: $75,000/year

    SCHEDULE: Monday-Friday; weekend and evening hours if necessary

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    ESSENTIAL RESPONSIBILITIES:
    • Assist in the development of the legislative agenda published every legislative session.
    • Develop policy memoranda that will be distributed to legislative and regulatory agencies, internally, and to coalition partners.
    • Work collaboratively with organizing and legislative advocacy leadership and staff to develop and implement policy strategy that advances PPLM/PPAF’s strategic health goals.
    • Sit in as a representative of PPAF in partner coalition meetings.
    • Draft testimony for municipal, state, and national hearings and assist in coalition building. 
    • Research health policy initiatives and debrief staff on our policy goals.
    • Work with Planned Parenthood Federation of America’s (PPFA) legislative staff to ensure national legislative initiatives are aligned with that of PPAF.
    • Assist in partner efforts such as legislative briefings, lobby days, and health center tours.
    • Manage legal and policy interns and the relationship with our legal consultant.
    • Manage legal research program, including identifying and securing grant opportunities, establishing external partnerships with academics and like-minded organizations, and recruiting and managing legal co-ops.
    • Support and further PPLM’s Equity Action Plan and journey to become an anti-racist organization.
    • Assist the DHPGR on day-to-day tasks and assignments. 
    • Other tasks and responsibilities as needed. 


    QUALIFICATIONS:
    • Over 3 years of proven policy experience. 
    • Graduate degree in law or policy required; Juris Doctorate preferred.
    • Demonstrated commitment to DEI work; leadership experience in DEI a plus.
    • Familiarity with Massachusetts legislative and political landscape.
    • Experience with policy research and memorandum development.
    • Expertise in sexual and reproductive healthcare, including insurance coverage and abortion access.
    • Strong written and verbal communication skills and comfortable making public presentations required.
    • Must possess the ability to think creatively and strategically, work independently and as a team member, meet deadlines, and prioritize work.
    • Highly organized, detail oriented, flexible and solution oriented.
    • Energetic, engaging, and passionate about sexual and reproductive health advocacy and policy.
    • Demonstrated ability to work with people of different races, ethnicities, ages, abilities, and experiences.
    • Must have a valid driver’s license and access to a vehicle; frequent statewide travel is necessary. 
    • Schedule will vary and include some nights and weekends.
    • Ability to speak additional languages preferred. 


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    Planned Parenthood League of Massachusetts offers a comprehensive benefit package which includes; health, dental and vision insurance, 11 paid holidays, 403B retirement plan with a 3% employer match, paid parental leave, paid time off, flexible spending accounts and more.


    Planned Parenthood League of Massachusetts is an equal employment opportunity employer and is committed to maintaining a non-discriminatory work environment, and does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, or any other characteristic protected by applicable law.  Planned Parenthood is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation.

  • 13 Days Ago

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Policy Manager
  • Executive Office of Education
  • Boston, MA FULL_TIME
  • The Education Secretariat is committed to equity and valuing the unique and diverse characteristics and experiences of every member of its workforce. We encourage an authentic workplace where colleagu...
  • 16 Days Ago

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Lead Information Security Policy Analyst
  • Fresenius Medical Care
  • Lexington, MA FULL_TIME
  • POSITION FEATURES:Fully remote position with occasional travel depending on business need.PURPOSE AND SCOPE: The Lead Governance, Risk, and Compliance Analyst will play a key role in leading the devel...
  • 2 Days Ago

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Senior Manager, Public Policy
  • Sobi
  • Waltham, MA FULL_TIME
  • Job Description Sobi is committed to putting patients first in our decisions, priorities, and actions. The Senior Manager, Public Policy will execute on the company’s public policy engagement strategy...
  • 12 Days Ago

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Manager - Accounting Policy & Standards
  • SF Demo - FMR LLC
  • Boston, MA FULL_TIME
  • Job Description:The Accounting Policy and Standards Manager is responsible for guiding the application of accounting rules by all Fidelity corporate legal entities. This position is a high-visibility ...
  • 1 Month Ago

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Senior. Manager - Payment Policy and Network Coding
  • Blue Cross and Blue Shield of Massachusetts, Inc.
  • Boston, MA FULL_TIME
  • Ready to help us transform healthcare? Bring your true colors to blue.What We NeedReporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Network Coding Sr. ...
  • 1 Month Ago

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0 Medical Policy Manager jobs found in Boston, MA area

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Remote Licensed Clinical Social Worker
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/19/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/19/2024 12:00:00 AM

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Head of Medical Writing
  • Aerovate Therapeutics Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/16/2024 12:00:00 AM

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Head of Medical Writing
  • Aerovate Therapeutics, Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Boston, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

Boston has an area of 89.63 square miles (232.1 km2)—48.4 square miles (125.4 km2) (54%) of land and 41.2 square miles (106.7 km2) (46%) of water. The city's official elevation, as measured at Logan International Airport, is 19 ft (5.8 m) above sea level. The highest point in Boston is Bellevue Hill at 330 feet (100 m) above sea level, and the lowest point is at sea level. Situated onshore of the Atlantic Ocean, Boston is the only state capital in the contiguous United States with an oceanic shoreline. Boston is surrounded by the "Greater Boston" region and is contiguously bordered by the citi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$146,677 to $179,064
Boston, Massachusetts area prices
were up 2.5% from a year ago

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