Medical Policy Manager jobs in Charleston, WV

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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Academic Officer
  • West Virginia Higher Education Policy Commission
  • Charleston, WV FULL_TIME
  • General Job Summary

    This position is responsible for ensuring compliance with academic policies and processes in the Academic Affairs division of the West Virginia Higher Education Policy Commission (Commission) and the West Virginia Council for Community and Technical College Education (Council). The role will support strengthening collaboration among and between postsecondary institutions and partners. The Commission serves as the coordinating board for the state’s public universities and the Council performs this role for public community and technical colleges. Both are statutorily charged with authorizing private and proprietary postsecondary institutions to operate in West Virginia.

    Classification: Full Time, Non-Classified, Exempt, Benefits-Eligible

    Duties and Responsibilities

    • Assists the Vice Chancellor for Academic Affairs with ensuring institutions are meeting policy and statutory requirements prescribed for postsecondary academic matters.
    • Oversee initial and annual reauthorization of postsecondary institutions to operate in West Virginia by coordinating the authorization of degree-granting institutions (both in-state and online) as outlined in Series 20.
    • Coordinates annual re-authorization processes for all institutions of higher education that confer associate degrees and higher degrees as specified in Series 52.
    • Review and make recommendations regarding the proposed delivery of new academic and technical education programs by coordinating the post-audit process for newly implemented AAS programs within the Community College System.
    • Coordinate Tuition Contract program for Veterinary Medicine, Optometry and Podiatry.
    • Coordinates institutional program review and program planning processes as outlined in Series 10. Ensure institutions complete program review requirements and monitor progress of institutions on implementing review recommendations.
    • Assists the Vice Chancellor with coordinating annual statewide academic planning processes.
    • Manage and update state postsecondary program inventory.
    • Coordinate state general education and course transfer review processes.
    • Manage the state’s Southern Region Education Board (SREB) Academic Common Market program and contract/reciprocity agreements with out-of-state institutions.
    • Coordinate statewide adult degree completion programs – Regents Bachelor of Arts and Board of Governors Associate of Applied Arts.
    • Provide general support with Academic Affairs initiatives including but not limited to dual enrollment, open educational resources, co-requisite course delivery, micro-credentialing, policy development, and tuition reciprocity agreements.
    • Provides support through preparing reports and presentations for the Commission, Council, Legislature, and other workgroups and committees as needed.
    • Develops and delivers professional presentations at local, regional, and national meetings and conferences.
    • As future circumstances or opportunities arise, assist with academic affairs programs, initiatives, policy implementation, etc. on an as needed basis.
    • Other duties as assigned.

    Minimum Requirements

    A Master’s degree is required, preferably in a field of study related to education, public administration, business, or public policy.

    A minimum of three years of relevant experience in the field of postsecondary education is required.

    The ideal candidate will have experience at a postsecondary board/system office or institution discharging planning, development, and analysis responsibilities in support postsecondary program delivery.

    REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:

    • Knowledge of postsecondary academic administration, trends, issues, and processes.
    • Familiarity with collaborative practices needed for effective development and administration of postsecondary academic policies.
    • Proven ability to balance a wide range of responsibilities.
    • Effective written and oral communication skills for audiences internal and external to the agency.
    • Ability to analyze data and synthesize complex information.
    • Committed to teamwork, public service, and the mission of postsecondary education.

    Supplemental Information

    Closing Date: April 26, 2024

    Application Process:
    In addition to filling out the job application, qualified candidates must submit a letter of interest and contact information for three professional references.

    DETAILS OF RELEVANT WORK EXPERIENCE MUST BE SHOWN IN THE DUTIES SECTION OF YOUR APPLICATION TO RECEIVE CREDIT FOR YOUR EXPERIENCE.

    Final candidates are subject to employment and credential verification, as well as reference and background checks.


    Equal Opportunity/
    Affirmative Action Employer/Veterans/Disabled
    The West Virginia Higher Education Policy Commission and the Community and Technical College System of West Virginia are equal opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran status and will not be discriminated against on the basis of disability. The Commission and Council provide a collegial, respectful and inclusive environment that values the diversity, creativity and contributions of its staff.

  • 18 Days Ago

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Pharmacy Manager
  • Watertown Regional Medical Center
  • Beckley, WV FULL_TIME
  • Raleigh General HospitalDescription Raleigh General Hospital Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Raleigh Gener...
  • 13 Days Ago

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Medical
  • Coast Medical Service
  • Charleston, WV FULL_TIME
  • Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast is featur...
  • 2 Days Ago

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RN Case Manager PRN
  • Watertown Regional Medical Center
  • Beckley, WV FULL_TIME
  • Raleigh General HospitalDescription Raleigh General Hospital Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Raleigh Gener...
  • 20 Days Ago

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Territory Manager - Beckley, WV
  • Zoll Medical Corporation
  • Beckley, WV FULL_TIME
  • Territory Manager - Beckley, WV Location: Placeholder, WV, United States of America Cardiac Management Solutions The Cardiac Management Solutions division of ZOLL Medical Corporation develops products...
  • 2 Days Ago

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Dialysis Clinical Manager
  • Fresenius Medical Care
  • Dunbar, WV FULL_TIME
  • PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirement...
  • 1 Month Ago

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0 Medical Policy Manager jobs found in Charleston, WV area

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Charleston, WV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Charleston, WV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Charleston, WV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Charleston, WV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Charleston, WV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Charleston, WV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Charleston, WV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Charleston, WV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

Charleston is the most populous city in, and the capital of, the U.S. state of West Virginia. Located at the confluence of the Elk and Kanawha rivers, the population during the 2017 Census Estimate was 47,929. The Charleston metropolitan area as a whole had 214,406 residents. Charleston is the center of government, commerce, and industry for Kanawha County, of which it is the county seat. Early industries important to Charleston included salt and the first natural gas well. Later, coal became central to economic prosperity in the city and the surrounding area. Today, trade, utilities, governm...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$117,761 to $143,762
Charleston, West Virginia area prices
were up 1.2% from a year ago

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