Medical Policy Manager jobs in Fairfield, CA

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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Clinical Data Manager
  • ExThera Medical
  • Martinez, CA FULL_TIME
  • The Role

    The Clinical Data Manager is responsible the clinical trial and database management to oversee and execute clinical data management activities including but not limited to case report form (CRF) design, database setup, review, and validation, data validation, and database lock. In addition, the Clinical Data Manager processes clinical data, including but not limited to the receipt, entry, verification, and generation of data queries to resolve errors and omissions during data entry. 

    A Few Key Responsibilities

    • The Clinical Data Manager will be responsible for performing Data Management activities that support ExThera Medical commercial and development projects worldwide
    • Be able to perform a thoroughly detailed review of eCRF data requirements
    • Support the development of data edit check specifications and data listings
    • Coordinate the design and testing of Electronic Data Capture (EDC) systems according to company standards
    • Able to resolve EDC system issues with team members
    • Able to review and provide feedback to the clinical team on other study documents e.g., Clinical Monitoring plans, Statistical analysis plans and vendor specifications
    • May provide training on the EDC system and/or eCRF Completion Guidelines at Investigator Meetings and to internal and external study team members as needed
    • Perform reconciliation of header data from external data sources against the clinical database
    • Be able to maintain study workbooks and data management files
    • Identify and resolve data flow process issues in collaboration with the project team
    • Contributes to initiatives within the organization, with groups engaged in developing good regulatory practice
    • Interface with other members of the regulatory, clinical, medical affairs and R & D teams to provide support and expertise as needed
    • Assist with the training of new employees and/or contractors
    What You Bring
    • BA/BS, preferably in the scientific/healthcare field, or an equivalent combination of education and work experience
    • 2 years of experience in data management 
    • Medical device and/or in vitro diagnostic experience highly preferred
    • Experience with REDCap Cloud, REDCap academic version, or other electronic data capture software
    • Ability to manage multiple and/complex studies
    • Facility with electronic data capture software
    • Experience and understanding of the Oncology or therapeutic area requiring intensive care, and with Phase III pivotal studies are preferred.
    • Knowledge of applicable regulatory rules and guidelines, such as ICH GCP
    • Ability to work in a regulated environment in compliance to ISO 13485:2016, US CFR, MDD/MDR, CMDR, MDSAP and all other applicable regulations
    • Excellent interpersonal and communication skills
    • Ability to work with clinical site personnel to resolve data queries
    • Ability to work in a team environment and manage competing timelines
    • Highly self-motivated and capable of independent work
    • Proficient with Microsoft Office Suite
    Relocation benefits are not offered for this role. The expected salary range for this position based on the primary location of Martinez, Ca is $140,295 and $153,856.  Actual pay will be determined based on experience, qualifications, geographic location, and other job-related factors permitted by law.
  • 20 Days Ago

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Sr. Manager, Quality Engineer
  • ExThera Medical
  • Martinez, CA FULL_TIME
  • The RoleThis is a senior-level position that is responsible for the quality engineering oversight of design control and, operations and risk management activities for medical devices manufactured by E...
  • 1 Month Ago

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Process Chemical Engineering Manager
  • ExThera Medical
  • Martinez, CA FULL_TIME
  • The RoleWe are seeking a highly motivated and experienced Senior Process Chemical Engineer to join our team. The Senior Process Chemical Engineer will play a key role in the design, optimization, and ...
  • 1 Month Ago

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Clinical Manager
  • Medical One Home Health
  • Antioch, CA PART_TIME
  • ```Duties``` - Oversee the daily operations of the clinic, ensuring efficient and effective delivery of healthcare services- Develop and implement policies and procedures to maintain high standards of...
  • 22 Days Ago

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Medical Supply Store Manager
  • Proven Recruiting
  • Vacaville, CA FULL_TIME
  • Job description (Assistant) Store Manager – Travis Air Force Base Are you a medical professional looking to switch things up in your career? Our client is a medical supply company looking to grow thei...
  • 7 Days Ago

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Medical Staff and Credentialing Manager
  • Clinical Management Consultants
  • Clayton, CA FULL_TIME
  • A San Francisco Bay Area Medical Center is seeking a Medical Staff and Credentialing Services Manager to join their team. The Manager Medical Staff Credentialing Services will have administrative over...
  • 26 Days Ago

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0 Medical Policy Manager jobs found in Fairfield, CA area

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Remote Licensed Psychiatric Nurse Practioner
  • Hiring Now!
  • Vacaville, CA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $144-$222 an hour Are you a licensed Psychiatric Nurse look...
  • 4/19/2024 12:00:00 AM

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Head of Engineering | Next Gen Biosensor/Proteomics Start-Up | Report to Founder/CEO | San Francisco-based | Retained Search
  • Cornerstone Search Group
  • Head of Engineering | Next Gen Biosensor/Proteomics Start-Up | Report to Founder/CEO | San Francisco-based | Retained Se...
  • 4/18/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Vacaville, CA
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $86-$130 an hour Are you a Licensed Clinical Social Worker l...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Vacaville, CA
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $86-$130 an hour Are you a Licensed Mental Health Counselor...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Vacaville, CA
  • Remote Licensed Psychiatrist Wage: Between $148-$232 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Vacaville, CA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $144-$222 an hour Are you a licensed Psychiatric Nurse look...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Vacaville, CA
  • Remote Licensed Mental Health Therapist (LMHT) Wage: Between $86-$130 an hour Are you a Licensed Mental Health Therapist...
  • 4/16/2024 12:00:00 AM

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Nurse Practitioner (NP) - Hospice - Per Diem/Part Time- Bay Area
  • Bridge Home Health and Hospice
  • Fairfield, CA
  • Overview: Are you looking for a place where you can make a genuine difference in our patients lives? With over 18 locati...
  • 4/15/2024 12:00:00 AM

Fairfield is a city in, and the county seat of, Solano County, California, in the North Bay sub-region of the San Francisco Bay Area. It is generally considered the midpoint between the cities of San Francisco and Sacramento, approximately 40 miles (64 km) from the city center of both cities, approximately 40 miles (64 km) from the city center of Oakland, less than 19 miles (31 km) from Napa Valley, 16 miles (26 km) from the Carquinez Bridge, and 14 miles (23 km) from the Benicia Bridge. Fairfield was founded in 1856 by clippership captain Robert H. Waterman, and named after his former hometow...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$146,808 to $179,223
Fairfield, California area prices
were up 2.5% from a year ago

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