Medical Policy Manager jobs in Johnstown, PA

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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Practice Manager - Ortho - CPG
  • Watertown Regional Medical Center
  • Johnstown, PA FULL_TIME
  • Description

    Who We Are:

    People are our passion and purpose. Conemaugh Health System, of Duke LifePoint Healthcare, is the largest healthcare provider in west central Pennsylvania, serving over a half-million patients each year through the Conemaugh Physician Group and Medical Staff, a network of hospitals, specialty clinics and patient focused programs. Conemaugh Health System employs over 5,000 clinical and non-clinical staff, and over 450 physicians committed to providing the ideal patient experience.

    Where We Are:

    The city of Johnstown is home to high-performing schools and safe, affordable neighborhoods that make working, living and raising a family special. There are many opportunities for educational advancement including the University of Pittsburgh at Johnstown, Saint Francis University, and Mount Aloysius College.

    Why Choose Us:

    * Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

    * Competitive Paid Time Off / Extended Illness Bank package for full-time employees

    * Employee Assistance Program - mental, physical, and financial wellness assistance

    * Tuition Reimbursement/Assistance for qualified applicants

    * Professional Development and Growth Opportunities

    * And much more...

    Position Summary:

    The primary responsibilities of the Practice Manager include maintenance of the daily operations and general management of the practice(s). This job also involves developing educational planning programs, allocating and assigning duties to employees, and monitoring the activities and operations of all the practice(s) components to ensure the practice(s) meets its objectives.

    Qualifications

    Minimum Qualifications:

    REQUIRED: High School graduate or equivalent; College Degree or Certified Practice Manager; At least 5 to 10 years of management experience in a healthcare environment; CPR or acquired within 2 months of hire.

    PREFERRED: At least 5 years of office practice management experience; Valid PA Registered Nurse License.

    EEOC Statement:

    Conemaugh Health System is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

    Job Administration/Management
    Primary Location Pennsylvania-Johnstown
    Schedule Full-time
    Work Schedule Day shift, 7-10 hr/shift, weekdays only

     

  • 21 Days Ago

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Practice Manager - Cardiology - CPG
  • Watertown Regional Medical Center
  • Johnstown, PA FULL_TIME
  • Description Who We Are: People are our passion and purpose. Conemaugh Health System, of Duke LifePoint Healthcare, is the largest healthcare provider in west central Pennsylvania, serving over a half-...
  • 21 Days Ago

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Nurse Manager II
  • Watertown Regional Medical Center
  • Johnstown, PA FULL_TIME
  • Description Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Conemaugh Memorial Medical Center is the largest healthcare pr...
  • 21 Days Ago

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Office Manager – Bariatric/Surgical Practice
  • Chan Soon-Shiong Medical Center at Windber
  • Windber, PA FULL_TIME
  • This position will oversee day-to-day operations of the office including making operational decisions, providing effective leadership, hiring & training new staff, timely submission of reports & perfo...
  • 11 Days Ago

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Medical Assistant
  • Mountain Laurel Medical Center
  • Oakland, MD OTHER
  • Job Details Job Location: Oakland Office - Oakland, MD Position Type: Full Time Education Level: High School Salary Range: Undisclosed Job Shift: Day Job Category: Health Care DescriptionSummary: It i...
  • 11 Days Ago

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Medical Technologist
  • Watertown Regional Medical Center
  • Johnstown, PA FULL_TIME
  • Description Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Conemaugh Memorial Medical Center is the largest healthcare pr...
  • 13 Days Ago

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0 Medical Policy Manager jobs found in Johnstown, PA area

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Remote Licensed Psychiatric Nurse Practitioner
  • Hiring Now!
  • Johnstown, PA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $155-$203 an hour Are you a licensed Psychiatric Nurse look...
  • 4/19/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Johnstown, PA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $155-$203 an hour Are you a licensed Psychiatric Nurse look...
  • 4/18/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practioner
  • Hiring Now!
  • Johnstown, PA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $155-$203 an hour Are you a licensed Psychiatric Nurse look...
  • 4/18/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Johnstown, PA
  • Remote Licensed Psychiatrist Wage: Between $157-$238 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 Marriage and Family Therapist
  • Headway
  • Johnstown, PA
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $86-$120 an hour Are you a Licensed Marriage and Fami...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Johnstown, PA
  • Remote Licensed Clinical Psychologist Wage: Between $89-$174 an hour Are you a Licensed Clinical Psychologist looking to...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Johnstown, PA
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $86-$120 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
  • Johnstown, PA
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $86-$120 an hour Are you a Licensed Mental Health Counselor...
  • 4/16/2024 12:00:00 AM

Johnstown is a city in Cambria County, Pennsylvania, United States, 43 miles (69 km) west-southwest of Altoona and 67 miles (108 km) east of Pittsburgh. The population was 20,978 at the 2010 census and estimated to be 20,402 in 2013. It is the principal city of the Johnstown, Pennsylvania, Metropolitan Statistical Area, which includes Cambria County. Johnstown is located in southwestern Cambria County at 40°19′31″N 78°55′15″W / 40.32528°N 78.92083°W / 40.32528; -78.92083 (40.325174, -78.920954). According to the United States Census Bureau, the city has a total area of 6.1 square miles (15....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$117,892 to $143,922
Johnstown, Pennsylvania area prices
were up 1.5% from a year ago

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