Medical Policy Manager jobs in Evansville, IN

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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Operations Manager
  • MedicOne Medical Response
  • Marion, IL FULL_TIME
  • MedicOne Medical Response is a leader in pre-hospital medicine and healthcare transportation system design and operations. Since 1999, we've grown from 2 ambulances and 8 employees to a fleet of 100 vehicles and 500 team members. MedicOne Medical Response was named to the 2014, 2015, 2016, 2017 and 2019 Inc. Magazine 500|5000 fastest growing companies in America list. The winner of a Stevie Award for outstanding healthcare and several Star of Life awards; we pride ourselves in an Organizational Culture that is welcoming, caring, accountable, and fast-paced.

    MedicOne Medical Response provides emergency medical ambulance services to facilities and communities in Texas, Tennessee, Mississippi and Illinois. We are the primary Veterans Affairs health system ambulance provider for North Texas, Southern Illinois, Southern Indiana and Western Kentucky. A nationally known and respected disaster response provider; we are partnered with several state EMAC’s and well as a national federal ambulance contract through FEMA for national disaster deployments. In our over 22 years of operation we have transported over 1,000,000 patients.

    If you are Driven, Empathetic, Engaging, and Adaptable, you will fit right in! We are a team of growth-minded, customer-centric, and entrepreneurial go-getters and as our newest team member you will serve as an integral part of our organization by leading through inspiration, professional growth and development, providing outstanding patient care all while serving as an ambassador for mitigating safety and risk incidents, improving workplace culture with a positive attitude and being a patient advocate.

    At MedicOne Medical Response we firmly believe it's not just about the destination, it's about the journey! It's about who you become along the way, the people you meet, the connections you make and the experiences that you have that shape the kind of healthcare professional you become. We invite to join us as we build a new culture in EMS.

    Follow us on Facebook @ www.Facebook.com/MedicOneMR.


    TITLE: Operations Manager
    ORGANIZATION: Field Operations
    EXEMPTION STATUS (FSLA): Exempt
    SUPERVISED BY: Director of Operations
    EMPLOYEES SUPERVISED: All employees in Field Operations. Direct supervision over Field Supervisors. Direct & indirect supervision of all other Field Operations personnel.


    SUMMARY DESCRIPTION: Will serve as assistant to the Director of Operations to perform those duties as assigned. Serves as manager of the Field Operations Department with line authority over all personnel therein. Responsible for budget preparations as it pertains to jurisdiction.


    DESCRIPTION OF ESSENTIAL DUTIES:

    • Manages the activities of the respective Field Operations Department.
    • Ensures that assigned personnel are fully informed of company policies, local procedures and other information pertinent to their jobs.
    • Reviews and acts upon, as necessary, all incident, deviation/exception, and other reports within his jurisdiction. Acts upon reports from the Field Operations Department.
    • Keeps current on events affecting his/her area of responsibility: accidents, injuries, breaches of policy, inter agency relations, morale, newsworthy events, and superior/poor performance by field personnel.
    • Responsible for reviewing performance evaluations of field personnel and providing input into the appraisal process.
    • Assists the Supervisors in administering discipline and counseling to achieve a desired result. May carry out discipline up to and suspension. May only terminate employees with HR & Director of Operations approval and consultation.
    • Prepares budget recommendations for salaries and equipment within his jurisdiction.
    • Required to operate department within assigned budget.
    • Responsible for a working knowledge of all equipment within his jurisdiction.
    • Must attend scheduled and called meetings.
    • Reviews Equipment Failure reports for accuracy and completeness.
    • Assists the Education and Training Department in orientation and other continuing
      education programs as they pertain to this position.
    • Responsible for adequate staffing in the Field Operations Department according to Unit Hour Utilization (UHU) and planned budgets
    • May act as a liaison for Director of Operations by attending meetings with allied agencies.
    • Recommends policy to the Director of Operations and/or Senior Administration.
    • Other duties as directed by Director of Operations or administration.


    MINIMUM REQUIREMENTS:

    • Bachelor's Degree in Business related field OR 4-6 years' experience in mid-level management OR 5 years EMS experience.
    • Experience in Microsoft Word, Excel and Power Point.
    • Experience leading and managing large groups of personnel.
    • Must have strong knowledge and experience of operations specific to an ambulance company.
    • Must be flexible in work schedule to meet the demands of the company.
    • Must reside within a commutable distance and be available to respond to system status overload situations as requested by the Control Center and Director of Operations.
    • Licensed Paramedic Preferred.


    KNOWLEDGE, SKILLS AND ABILITIES:

    • Ability to exercise authority (within given limits) with logic and consistency.
    • Ability to objectively and accurately evaluate performance of subordinates.
    • Knowledge of matters of employee health, safety, and mindful of loss control.
    • Knowledge of local, regional, and state laws, rules, and regulations pertaining to EMS and ambulance operations.
    • Ability to delegate effectively.
    • Ability to communicate effectively.
    • Ability to administer discipline and counsel employees effectively to, achieve a desired result.
    • Ability to minimize stress by identifying problems before they occur and effectively dealing with stressful situations that do occur.
    • Ability to function as Field Supervisor if necessary.
    • Advanced knowledge of business, management, and fiscal skills.
    • Demonstrates ability to implement these skills.
    • Basic computer literacy required.
    • Must score a level on an established test of general intelligence consistent with a management position.
    • The profile must show that the individual can perform with management potential.
    • Gathers information, analyzes it and makes decisions from a limited number of choices.
    • Able to learn from on-the-job experiences and draw inferences from diverse sources.
    • Able to interpret instructions and understand implications using a broad background of knowledge and experience.
    • Able to draw inferences and set up effective solutions when unexpected problems arise on the job.
    • Able to plan and coordinate logistics in an efficient and cost effective manner.
    • Able to communicate opinions, observations, and conclusions such that they are understood.
    • Ability to influence groups to both accomplish tasks and fulfill the needs of their members.
    • Knows the key concepts and variables that define the ambulance industry (e.g., critical issues, economic vulnerabilities, measurements, information sources).
    • Knows the strategy, structure, power networks, financial position, and systems of MedicOne.
    • Intellectual versatility. Recognizing, exploring, and using a broad range of ideas and practices. Thinking logically and creatively without undue influence from personal biases. Relationship versatility. Adjusting behavior in order to establish relationships across a broad range of people and groups.
    • Able to serve as an effective role model for subordinates.
    • Ability to negotiate effectively and efficiently


    Note – This job description is dynamic and subject to change by administration at any time without notice or consultation of employee.

    EQUAL EMPLOYMENT OPPORTUNITY

    MedicOne Medical Response is an equal opportunity employer. MedicOne Medical Response prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, national origin, age, disability or genetic information. MedicOne Medical Response conforms to the spirit as well as to the letter of all applicable laws and regulations.

    E-VERIFY STATEMENT

    MedicOne Medical Response participates in the Electronic Employment Verification Program (E-Verify).

    DISCLAIMER
    The information provided in this description is designed to indicate the general nature and level of work performed by incumbents within this position. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this position. MedicOne Medical Response has the sole discretion to add or modify the duties of the position and to designate other functions at any time. This position description is not an employment agreement or contract.

  • 2 Months Ago

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Medical
  • Coast Medical Service
  • Eldorado, IL 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...
  • 22 Days Ago

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Medical Case Manager II
  • CorVel Brand
  • Evansville, IN FULL_TIME
  • CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Evansville, Indiana. Work from home, and on the road. Monda...
  • 13 Days Ago

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Medical Case Manager II
  • CorVel Corporation
  • Evansville, IN FULL_TIME
  • CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Evansville, Indiana. Work from home, and on the road. Monda...
  • 13 Days Ago

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Associate Territory Manager - Evansville, IN
  • Zoll Medical Corporation
  • Evansville, IN FULL_TIME
  • Associate Territory Manager - Evansville, IN Location: Placeholder, IN, United States of America Cardiac Management Solutions The Cardiac Management Solutions division of ZOLL Medical Corporation deve...
  • 1 Month Ago

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Supervisor Medical Records/Site Manager
  • Wexford Health
  • Vienna, IL FULL_TIME
  • To Apply for this Job Click Here POSITION: Supervisor Medical Records/Site Manager SCHEDULE: Full Time M-F 8a-4p FACILITY: Vienna LOCATION: Vienna, IL A Job Should be MORE than just a paycheck. Wexfor...
  • 27 Days Ago

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0 Medical Policy Manager jobs found in Evansville, IN area

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Evansville, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Evansville, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Evansville, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Evansville, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Evansville, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Evansville, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Evansville, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Evansville, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

Evansville is a city and the county seat of Vanderburgh County, Indiana, United States. The population was 117,429 at the 2010 census, making it the state's third-most populous city after Indianapolis and Fort Wayne, the largest city in Southern Indiana, and the 232nd-most populous city in the United States. It is the commercial, medical, and cultural hub of Southwestern Indiana and the Illinois-Indiana-Kentucky tri-state area, home to over 911,000 people. The 38th parallel crosses the north side of the city and is marked on Interstate 69. Situated on an oxbow in the Ohio River, the city is of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$124,041 to $151,429
Evansville, Indiana area prices
were up 1.3% from a year ago

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