Medical Policy Manager jobs in Killeen, TX

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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Information Security Specialist III (IA Policy Admin Services)
  • Honu Services
  • Killeen, TX FULL_TIME
  • Job Details



    Position: Information Security Specialist III (IA Policy Administrative Services)

    Location: Fort Cavazos, Texas (Killeen)

    Job Summary

    KaiHonua, LLC has an immediate opening for an Information Security Specialist to join our rapidly growing team. The Information Security Specialist performs under general direction and uses current information security technology disciplines and practices to ensure the confidentiality, integrity and availability of Government information assets in accordance with established standards and procedures. The position will perform the following:



    • Develop and maintains knowledgebase on changing regulatory, threat, and technology landscapes to continually develop or maintain security policies and standards, and ensures compliance throughout the organization

    • Provide Risk Management Framework, circuit/system accreditation and certification policy services

    • Participate in the development or modification of the computer environment IA security program plans and requirements

    • Develop procedures to ensure system users are aware of their IA responsibilities before granting access to DoD information systems

    • Recognize possible security violations and takes appropriate action to report the incident, as required

    • Ensure IA security requirements are appropriately identified in computer environment operation procedures

    • Collect and maintain data needed to meet system IA reporting requirements


    Responsibilities: (Not listed in order of importance; other duties may be assigned) and must be able to perform the following with minimal guidance:



    • Provide oversight for the Computer Network Defense-Service Provider (CNDSP)

    • Work with system owners to close IAVMs/ICVMs and open Plan of Action and Milestones (POA&Ms) in a rapid fashion, in accordance with DoD instructions/directives. Review all POA&MS with the Program Manager on at least a quarterly basis and update the POA&Ms accordingly.

    • Provide Defense in Depth principles and technology in security engineering designs and implementation

    • Conduct Computer Incident Response Team (CIRT) activities, including forensic analysis

    • Engineer and deploy network defense countermeasures such as anti-virus, anti-spam, and intrusion detection and prevention system solutions

    • Analyze IA security events, including threat model development and resulting security risk analysis of systems

    • Review and assess information security events and logs via sophisticated security information/event manager

    • Plan, implement, and manage a Defense In Depth for the total network and/or enclaves within the network to include such items as: scanning, remediation, host and network intrusion detection/prevention, firewalls, proxy servers, web cache, virus programs, vulnerability scanning, content filtering, remote dial in protection, Host Based Security Services, Directory Services, and Certification and Accreditation, DoD Instruction 5200.40, accreditation guidance and advice IAW AR 25-2 and IA Best Business Practices (BBPs). Plan, respond, investigate, and report undisclosed classified incident remediation.

    • Assess and mitigate system security threats/risks throughout the program life cycle

    • Validate system security requirements definition and analysis and review/approve System Security Plans for enterprise-wide architectures

    • Maintain Agency public key infrastructure system Implement security designs in hardware, software, data and procedures

    • Provide support for the Department of Defense (DoD) Public Key Infrastructure (PKI) service.

    • Responsible for requesting, receiving, installation, and accountability of system (server) PKI certificates and providing technical support for PKI.

    • Provide Certification and Accreditation, as well as provide Automated Information System Accreditation support

    • Provide Security Risk Assessment. Perform risk analysis of resources, controls, vulnerabilities, impact of losing systems' capabilities and threats to the mission objective; provide analysis to facilitate decisions to implement security countermeasures or mitigate risk; implement countermeasures; periodically review program. Recognize possible threats and review evaluations for compliance and non-compliance.

    • Other duties as required


    Requirements

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.



    • Bachelor's Degree in Computer Science, Cybersecurity, Computer Engineering, or related discipline preferred

    • 3 years of experience performing Information Assurance functions and using RMF IT security controls and policies preferred

    • Must possess and maintain an IT-I level certification IAW AR 25-2 and IAT-II/IAM-II certifications IAW DoD 8570.01-M



    Security Clearance

    Position may require a DoD security clearance

    Physical Requirements

    Work may involve sitting or standing for extended periods of time. Position may require typing and reading from a computer screen. Must have sufficient mobility, including but not limited to bending, reaching, and kneeling to complete daily duties in a timely and efficient manner. May include lifting weight up to thirty (30) pounds as necessary.



    • A valid driver's license with a clean driving record may be required

    • Occasional use of company vehicle while on work site


    Benefits



    • Medical, dental, vision, disability, and life insurance

    • Flexible Spending Accounts

    • 401(k)

    • PTO

    • Tuition reimbursement

    • Paid federal holidays



    KaiHonua, LLC reserves the right to change or modify job duties and assignments at any time. The above job description is not all encompassing. Positions functions and qualifications may vary depending on business needs.

    KaiHonua, LLC is an equal opportunity employer and does not discriminate against applicants based on race, color, creed, religion, medical condition, legally protected genetic information, national origin, sex (including pregnancy, childbirth or related medical condition), sexual orientation, gender identity and expression, age, disability, or Vietnam era, or other eligible veteran status or legally protected characteristics.

  • 6 Days Ago

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Information Security Specialist III (IA Policy Administrative Services)
  • Na Oiwi Kane
  • Killeen, TX FULL_TIME
  • Position: Information Security Specialist III (IA Policy Administrative Services) Location: Fort Cavazos, Texas (Killeen) Job Summary KaiHonua, LLC has an immediate opening for an Information Security...
  • 6 Days Ago

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Information Security Specialist III (IA Policy Admin Services)
  • Honu Services
  • Killeen, TX FULL_TIME
  • Job DetailsPosition: Information Security Specialist III (IA Policy Administrative Services) Location: Fort Cavazos, Texas (Killeen) Job Summary KaiHonua, LLC has an immediate opening for an Informati...
  • 6 Days Ago

N
Information Security Specialist III (IA Policy Administrative Services)
  • Na Oiwi Kane
  • Killeen, TX FULL_TIME
  • Position: Information Security Specialist III (IA Policy Administrative Services) Location: Fort Cavazos, Texas (Killeen) Job Summary KaiHonua, LLC has an immediate opening for an Information Security...
  • 6 Days Ago

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Medical Lab Technician / Medical Lab Scientist
  • Seton Medical Center Harker Heights
  • Harker Heights, TX FULL_TIME
  • Overview You may be eligible for a sign-on bonus of up to $7,500. Join our team as a night shift, full-time, Medical Lab Technician/Medical Lab Scientist in Harker Heights, TX. Fulfilling your purpose...
  • 12 Days Ago

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Medical Courier Jobs
  • Medical Courier Jobs Jobs Hiring
  • Carlton, TX FULL_TIME
  • (Hiring Immediately) Part/Full-Time Medical Courier Jobs Jobs Available in Carlton, TX. No Experience Required.
  • 25 Days Ago

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0 Medical Policy Manager jobs found in Killeen, TX area

Killeen is a city in Bell County, Texas, United States. According to the 2010 census, its population was 127,921, making it the 21st-most populous city in Texas. It is the principal city of the Killeen–Temple–Fort Hood Metropolitan Statistical Area. Killeen is directly adjacent to the main cantonment of Fort Hood. Its economy depends on the activities of the post, and the soldiers and their families stationed there. It is known as a military "boom town" because of its rapid growth and high influx of soldiers. Killeen is located in western Bell County at 31°6′20″N 97°43′36″W / 31.10556°N 97.7...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$118,938 to $145,200
Killeen, Texas area prices
were up 1.2% from a year ago

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