Medical Policy Manager jobs in Las Cruces, NM
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
- Watertown Regional Medical Center
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Las Cruces, NM
FULL_TIME
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Memorial Medical CenterDescription
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. Memorial Medical Center is a199-bed hospital offering a spectrum of care, including diagnostic, therapeutic, and rehabilitative services, both on an inpatient and outpatient basis.
Where We Are
From national parks and monuments to one of the top-rated farmer's markets in the country, Las Cruces offers a world filled with natural wonder, year-round excitement, and historic proportions of fun. We are known for our safe and affordable living conditions, outstanding educational system, and friendly people.
Why Choose Us
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- 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
Clinical Manager, under the direction of Program Director, manages and coordinates the clinical and other activities on the patient unit in order to provide quality patient care. Establishes goals and priorities in accordance with patient and staff needs and organizational objectives. Services are provided across the life span of an individual and within the spectrum of health care as designated for the department. In addition, provides service to patients throughout the life span including children, adults and geriatric age groups.
QualificationsMinimum Qualifications
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- Minimum Education: Graduate of a School of Nursing required. BSN preferred.
- Minimum Experience: A minimum of five (5) years current clinical experience in specialty area or management. Three (3) to five (5) years experience in a supervisory role required.
- Certification/Licensure: Current New Mexico or compact RN license required. CPR certification required.
EEOC Statement
Memorial Medical Center 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 NursingPrimary Location New Mexico-Las CrucesSchedule Full-timeWork Schedule Day shift, 7-10 hr/shift, weekdays only -
- 19 Days Ago
- Watertown Regional Medical Center
-
Las Cruces, NM
FULL_TIME
- Memorial Medical CenterDescription Clinical Manager, under the direction of Program Director, manages and coordinates the clinical and other activities on the patient unit in order to provide quality ...
- 19 Days Ago
- Carlsbad Medical Center
-
Deming, NM
FULL_TIME
- RNWe're seeking RN's! Come join our family and be a part of a culture that's dedicated to improving lives! In order to give the best patient care, we must be at our best. That's why we're committed to...
- 1 Month Ago
- Memorial Medical Center
-
Las Cruces, NM
PER_DIEM
- 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. Memorial Medical Center is a 199-bed hospital offering a spectrum of care, ...
- 1 Month Ago
- Memorial Medical Center
-
Dona Ana, NM
FULL_TIME
- 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. Memorial Medical Center is a 199-bed hospital offering a spectrum of care, ...
- 22 Days Ago
- Memorial Medical Center
-
Las Cruces, NM
PER_DIEM
- 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. Memorial Medical Center is a 199-bed hospital offering a spectrum of care, ...
- 22 Days Ago
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0 Medical Policy Manager jobs found in Las Cruces, NM area
- Albertsons
-
Las Cruces, NM
- Job Description A Day in the Life: As a Pharmacy Technician, you have the opportunity to be a part of something bigger. ...
- 4/26/2024 12:00:00 AM
- DONA ANA COMMUNITY COLLEGE NMSU
-
Las Cruces, NM
- Overview Performs building inspection to determine electrical soundness and compliance with specifications and permit se...
- 4/26/2024 12:00:00 AM
- Universal Health Services
-
Las Cruces, NM
- Responsibilities Mesilla Valley Hospital has been in operation since 1987, serving those in need of treatment for a vari...
- 4/25/2024 12:00:00 AM
- The Buckle
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Las Cruces, NM
- Summary The Operations Manager is responsible for fulfilling our mission statement, "to create the most enjoyable shoppi...
- 4/25/2024 12:00:00 AM
- Las Cruces of Cascadia
-
Las Cruces, NM
- Las Cruces Post-Acute Care & Rehabilitation of Cascadia is looking for a Registered Nurse (RN) to join our team of dedic...
- 4/24/2024 12:00:00 AM
- ambercare
-
Las Cruces, NM
- Caregivers can now make BONUS PAY!! Apply now for additional details!! Pay rates now starting at $12.45 dollars per hour...
- 4/24/2024 12:00:00 AM
- Enhabit Inc.
-
Las Cruces, NM
- Overview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find yo...
- 4/24/2024 12:00:00 AM
- Universal Health Services
-
Las Cruces, NM
- Responsibilities Mesilla Valley Hospital has been in operation since 1987, serving those in need of treatment for a vari...
- 4/24/2024 12:00:00 AM
About Las Cruces, New Mexico
were up 2.5% from a year ago