Medical Policy Manager jobs in Georgia
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)
Recently Added Medical Policy Manager jobs
- - Team Georgia Careers
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Atlanta, GA
FULL_TIME
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Please visit the DCH jobsite link to review the job posting and apply:
If interested, please apply to:
https://www.governmentjobs.com/careers/dchga/jobs/4455115/eligibility-policy-manager-00203660
Applicants who do not apply using the DCH Jobsite link provided above will NOT be considered.
For other DCH career opportunities,
please visit: https://dch.georgia.gov/dch-employment
The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP) and Healthcare Facility Regulation, impacting one in four Georgians.
Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and under-served populations. Six enterprise offices support the work of the agency’s three program divisions. DCH employees are based in Atlanta, Cordele and across the state.
The Department of Community Health is seeking qualified candidates for the Eligibility Policy Manager in the Medical Assistance Plans Division. This is a hybrid position that requires in-office and remote work with the approval of the supervisor. The days and frequency in the office can change at any time during employment based on the business needs of the organization.
Please visit the DCH jobsite link to review the job posting and apply:
If interested, please apply to:
https://www.governmentjobs.com/careers/dchga/jobs/4455115/eligibility-policy-manager-00203660
Applicants who do not apply using the DCH Jobsite link provided above will NOT be considered.
For other DCH career opportunities,
please visit: https://dch.georgia.gov/dch-employment
Bachelor's degree in a related field from an accredited college or university AND Four years of experience managing professional level staff OR Eight years of related professional experience AND Four years managing at the level equivalent to area of assignment OR Four years of experience required at the lower level Mgr 2, Business Ops (GSM011) or position equivalent. Note: An equivalent combination of education and job specific experience that provided the knowledge, experience and competencies required to successfully perform the job at the level listed may be substituted on a year-over-year basis.Additional Information - 12 Days Ago
- REFORM Alliance
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Atlanta, GA
FULL_TIME
- Organization Overview REFORM is committed to transforming probation and parole throughout the United States by changing laws, systems, and culture. The organization is working to replace America’s cri...
- 14 Days Ago
- Georgia Department of Community Health
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Atlanta, GA
FULL_TIME
- Pay Grade: NThe Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency fo...
- 2 Days Ago
- Clique Hiring Solutions
-
Columbus, GA
FULL_TIME
- Company DescriptionThis position offers equity.Our client is known for treating our employees exceptionally well. As one of the leaders in the insurance industry, they are able to offer one of the mos...
- 1 Month Ago
- GFB
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MACON, GA
FULL_TIME
- DESCRIPTION OF ESSENTIAL DUTIES: Develop professional working relationships with Farm Bureau personnel, elected officials, other state advocacy groups, legislative staff, government agency personnel, ...
- 21 Days Ago
- Avanos
-
Alpharetta, GA
FULL_TIME
- Requisition ID: 5847 Job Title: Director of Market Access, Reimbursement and Medical Policy Job Country: United States (US) Here at Avanos Medical, we passionately believe in three things: Making a di...
- 5 Days Ago
Medical Policy Manager jobs at Popular Companies
- MD Anderson
-
Houston, TX
- The University of Texas MD Anderson Cancer Center is ranked the nation's top hospital for cancer care by U.S. News & Wor...
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- Baptist Memorial
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Germantown, TN
- Summary Perform all functions of the Medical Technologist and supervise the personnel and activities of various sections...
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- Proclinical Staffing
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- Head of Medical Writing - Permanent - Onsite Proclinical is seeking a Head of Medical Writing to join a cutting-edge bio...
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- Aerovate Therapeutics Inc.
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Waltham, MA
- Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
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- Rbw Consulting
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Philadelphia, PA
- A major international pharma business is looking to expands its immunology pipeline and requires a dynamic and forward t...
- 4/16/2024 12:00:00 AM
- Aerovate Therapeutics, Inc.
-
Waltham, MA
- Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
- 4/15/2024 12:00:00 AM
- Vir Biotechnology, Inc.
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- Vir Biotechnology, Inc. is an immunology company focused on combining cutting-edge technologies to treat and prevent inf...
- 4/15/2024 12:00:00 AM
- HeartFlow
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Dallas, TX
- HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
- 4/14/2024 12:00:00 AM