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)
The Non-Medical Case Manager is responsible for providing information and services to those living with HIV/AIDS. The NMCM works as part of a statewide team in the effort to end the HIV epidemic. Looking for a positive, energetic, independent individual with organizational & computer skills. Qualifications: Bachelor's of Social Work or related field preferred; equivalent experience MAY be accepted. Bilingual & medical background preferred. Approximately 10% travel required.
Here are some of the benefits you can receive when you become part of the ARcare family:
• Liberal benefit package, which includes:
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0 Medical Policy Manager jobs found in Fayetteville, AR area