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)
Position Description:
Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public-and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics. Our work yields actionable information to guide decisions in wide-ranging policy areas, from health, education, early childhood, and family support to nutrition, employment, disability, and international development.
Mathematica is seeking part-time Field Locators to work on the Study of Food and Well-Being (PPC), sponsored by the U.S. Department of Agriculture’s (USDA) Food & Nutrition Service (FNS). This important study will advance understanding of the relationship between poverty, well-being, and food security status by gathering information about the food-related experiences, benefits received, and overall health and well-being of impoverished households. In-person data collection will begin in July of 2024.
Field staff will locate hard-to-reach study participants to encourage and support them in completing a survey via telephone or an online platform.
Responsibilities Include:
Position Requirements:
Attendance and successful completion of all scheduled training sessions is required to work on the PPC project. Project training is expected to occur July 2024.
This position offers an hourly rate beginning at $20 per hour.
Available Locations: Greenville, Mississippi; Monroe, Louisiana; Albany, Georgia; Irvine, Kentucky; Las Cruces, New Mexico; Selma, Alabama
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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