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)
A leading acute care hospital located in central New Hampshire is now seeking an experienced Nurse Manager Medical Surgical to join their award-winning healthcare team.
This regional leading acute care hospital is home to just over 130-beds and provides a wide variety of expert acute care services. For the Lakes and Three Rivers regions, this location offers medical, surgical, specialty, diagnostic, rehabilitative, emergency, patient education, and community support services.
Reporting to the Director of Nursing, the Nurse Manager Medical Surgical is responsible for all unit operations including staff management of 30 FTEs, regulatory compliance and survey readiness, inventory management, quality control, and department fiscal budget. The Nurse Manager will also serve as the unit representative and liaison between organization leadership and staff.
Requirements Include:
Located in central New Hampshire, this location is perfectly situated between two beautiful lakes and offers a quaint village feel.
This organization is prepared to offer a competitive compensation package including industry leading benefits and future growth opportunities.
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0 Medical Policy Manager jobs found in Concord, NH area