Medical Policy Manager jobs in Lowell, MA

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)

T
Senior Manager Talent Acquisition - Tufts Medical Center
  • Tufts Medical Center
  • Burlington, MA FULL_TIME
  • We're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you.

    Job Profile Summary

    This role focuses on supporting the design, development, and implementation of human resource programs and policies, including recruitment, training and development, compensation and benefits, mobility, talent acquisition, diversity, talent management & organization development and employee/labor relations. In addition, this role focuses on performing the following Talent Acquisition duties: Attracts, finds, and acquires skilled labor for organization needs including talent evaluation and screening (assessing skills, testing, ranking, reference checking, etc.), job advertising and posting internally and externally, including third party recruiting agencies, talent prospecting at employment fairs and on campus at educational institutions, talent staffing and planning, managing new employee induction process, and may be responsible for exit interviews. A management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports. A role that manages experienced professionals who exercise latitude and independence in assignments. Responsibilities typically include: policy and strategy implementation for short-term results (1 year or less), problems faced are difficult to moderately complex, and influences others outside of own job area regarding policies, practices and procedures.

    Job Overview

    This leader plays a pivotal role in shaping the healthcare workforce of Tufts Medicine. In partnership with the System Director of Talent Acquisition and Workforce Planning, the position develops and executes the talent acquisition strategies to attract, engage, and hire top diverse talent who embody our values and will support our mission of delivering exceptional patient care and empowering people to live their best lives. The role is responsible for the full lifecycle of the recruitment process, including developing and executing comprehensive talent acquisition strategies aligned with the system and local entity's business objectives, building a pipeline of diverse candidates through contemporary and innovative sourcing modalities, as well as working as a Talent Acquisition (TA) leadership team to streamline and optimize the recruitment process and candidate experience at the system level.

    Job Description

    Minimum Qualifications:

    1. Bachelor's degree in a related field, such as Human Resources, Business Administration, or a related field.

    2. Ten (10) or more years of experience in Talent Acquisition, Human Resources, or a related field.

    3. Two (2) or more years of experience leading a team of Human Resources professionals.

    Preferred Qualifications:

    1. Master's degree in a related field, such as Human Resources, Business Administration, or a related field.

    2. Five (5) or more years of experience leading a team of Talent Acquisition professionals.

    3. Talent Acquisition management experience in healthcare setting.

    4. Workday experience.

    Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

    1. Works with the Tufts Medical Center s leadership team to assess and diagnose organizational needs relative to business performance gaps; design and implement innovative talent acquisition strategies, context, and framework and set plans to resolve gaps, including process optimization, service delivery, as well as talent reach and pipeline expansion.

    2. Partners with the Center of Diversity, Equity, and Inclusion (DEI) and the DEI councils to design and implement strategies and initiatives to attract and hire a diverse workforce that mirrors the communities we serve.

    3. Develops deep knowledge about the organization's business model, the consumer, competitive, political, and social environments in which the organization operates, and understanding the importance of actively engaging with and shaping these environments.

    4. Functions as an engaged, trusted partner with HR and business leaders.

    5. Builds and maintains relationships with the community benefits team, external community partners, agencies, education institutions, and professional networks to expand the candidate pipeline.

    6. Innovates creative approaches to attract talent and manage recruitment budgets (advertising, job fairs, etc.), allocate resources effectively, and track key recruitment metrics to assess the success of strategies.

    7. Establishes and monitors recruitment metrics and KPIs to ensure the team's performance meets or exceeds goals.

    8. Utilizes data-driven insights to identify areas for improvement and optimize the recruitment process to increase efficiency, effectiveness and provide a seamless candidate experience.

    9. Collaborates with marketing and communication teams in employer branding initiatives to enhance the company's reputation as an employer of choice.

    10. Participates and collaborates with the HR technology team, as part of the TA leadership team, in any TA related technology projects and improvements.

    11. Stays current with emerging healthcare industry trends, talent acquisition tool and technologies and integrate relevant practices into the team's operations.

    12. Develops regular cadence and rigor of communications through reporting and presentations like the Quarterly Operation Review (QOR) to inform entity executives and advisory groups about talent acquisition progress, opportunities, and insights to inform business decisions.

    Physical Requirements:

    1. Work environment: professional office environment, home office as needed, and/or online tele / video conference setting.

    2. Frequently required to speak, hear, communicate and exchange information.

    3. Ability to work in a confined or open environment.

    4. Ability to work independently or in a team environment.

    5. Ability to work well on virtual platforms and use various technologies.

    Skills & Abilities:

    1. Strong strategic and creative thinking, with the ability to align recruitment efforts with overall business goals.

    2. Self-initiating, courageous, independent thinker with agile and continuous improvement mindset - the ability to drive for results and focus on action.

    3. Demonstrated success in developing and executing recruitment strategies that support organizational growth.

    4. Excellent communication, negotiation, change leadership and interpersonal skills, with an ability to build relationships at all levels of the organization.

    5. Exceptional business acumen and business management skills including planning, program/project management, financial management, and translating business requirements into organization and individual development requirements.

    6. Proven ability to coach, develop and lead a team of TA professionals, driving performance and achieving results.

    7. Strong knowledge of candidate assessment and selection methods and solid understanding of diversity, equity, and inclusion initiatives within the healthcare context.

    8. Proficiency in utilizing applicant tracking systems, other recruitment tools and HR software.

    9. Exceptional organizational skills and attention to detail.

    10. Demonstrated ability to work in a fast-paced, dynamic environment and adapt to changing priorities.

    11. Ability to work independently and collaboratively in a complex team environment.


    Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at .

     

  • 6 Days Ago

K
Insurance Sales Manager
  • Koch Protect Insurance Agency Sales Manager
  • Littleton, MA FULL_TIME
  • Job Title: Insurance Sales Manager Company: Koch Protect Insurance Location: Acton Toyota of Littleton and Koch Rt2 in Lancaster (On-site) About Us:Koch Protect Insurance is a reputable insurance agen...
  • 4 Days Ago

K
Insurance Sales Manager
  • Koch Protect Insurance Agency Sales Manager
  • Littleton, MA FULL_TIME
  • Job Title: Insurance Sales Manager Company: Koch Protect Insurance Location: Acton Toyota of Littleton and Koch Rt2 in Lancaster (On-site) About Us:Koch Protect Insurance is a reputable insurance agen...
  • 4 Days Ago

V
Program Manager
  • Viant Medical
  • Wilmington, MA FULL_TIME
  • Join a best in class Program Management team with a diverse portfolio of major medical device manufacturers! We’re seeking a team player who can motivate team members, inspire action, and collaborate ...
  • 13 Days Ago

V
Marketing Manager
  • Viant Medical
  • Wilmington, MA FULL_TIME
  • Position Title: Content Marketing Manager Reports to: Sr. Director of Marketing Status: Full Time Description As the Content Marketing Manager, your responsibilities include leading and integrating ma...
  • 17 Days Ago

F
Team Leader, Risk Management
  • Fred C. Church - Because it’s not just the policy....
  • Lowell, MA FULL_TIME
  • Our Role: The Team Leader, Risk Management (TLRM) works with the Commercial Lines teams to assist our larger, multi-faceted clients with strategic risk management involving all lines of coverage. This...
  • 19 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Manager jobs found in Lowell, MA area

H
Remote Licensed Clinical Psychologist
  • Headway
  • Lowell, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/23/2024 12:00:00 AM

N
Vice President, Head of Medical Affairs / Oncology
  • Nuvalent Inc.
  • Cambridge, MA
  • The Company: With deep expertise in chemistry, Nuvalent is working to create selective medicines designed with the goal ...
  • 4/22/2024 12:00:00 AM

A
Head of Medical Writing
  • Aerovate Therapeutics Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/21/2024 12:00:00 AM

A
Head of Medical Writing
  • Aerovate Therapeutics, Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/20/2024 12:00:00 AM

H
Remote Licensed Mental Health Counselor
  • Headway
  • Lowell, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

H
Remote Licensed Professional Counselor
  • Headway
  • Lowell, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

H
Remote Licensed Marriage and Family Therapist
  • Headway
  • Lowell, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

H
Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Lowell, MA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/19/2024 12:00:00 AM

Lowell is a city in the U.S. Commonwealth of Massachusetts. Located in Middlesex County, Lowell (along with Cambridge) was a county seat until Massachusetts disbanded county government in 1999. With an estimated population of 109,945 in 2014, it is the fourth-largest city in Massachusetts, and the second-largest in the Boston metropolitan statistical area. The city is also part of a smaller Massachusetts statistical area called Greater Lowell, as well as New England's Merrimack Valley region. Incorporated in 1826 to serve as a mill town, Lowell was named after Francis Cabot Lowell, a local fi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$142,752 to $174,272
Lowell, Massachusetts area prices
were up 1.6% from a year ago

Medical Policy Manager in Casper, WY
The Medical Policy Portal offers streamlined navigation to the various types of policies available.
February 14, 2020
Medical Policy Manager in Saint Paul, MN
The expanded policy, called the Air Force Memorandum for Appearance and Accession Standards Review, gives applicants with previously disqualifying medical conditions a second chance on a case-by-case basis.
February 12, 2020
Medical Policy Manager in Atlantic City, NJ
Get the latest updates to Blue Cross NC's medical policies.
January 14, 2020