Medical Policy Manager jobs in Madison, WI

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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Installation Status Report (ISR) Program Manager (Program and Policy Analyst Advanced)
  • State of Wisconsin
  • Madison, WI FULL_TIME
  • Introduction


    Do you have experience with analyzing, identifying, coordinating, and establishing goals that fit program needs? If so, please consider applying for the ISR Program Manager position with the State of Wisconsin, Department of Military Affairs (DMA), Construction Facilities Management Office (CFMO), Madison.

    Our convenient location is near Madison College and adjacent to the Dane County Regional Airport with access to major highways. Our facility includes a fantastic fitness center, indoor pickleball court, and free parking.

    We offer an opportunity to engage with a team of dedicated professionals, with a truly worthwhile mission. The DMA provides essential, effective and responsive military and emergency management capability for the citizens of our state and nation.

    During emergencies, no single organization can handle the response. The DMA consists of several organizations working together to plan, prepare, coordinate and respond effectively when our communities and neighbors need us the most.

    The DMA offers flexible schedules and great life/work balance. This position is eligible for limited telework after an initial probationary period. In addition to meaningful and rewarding work, we offer a competitive benefits package featuring:

    • Substantial leave time including at least 3.5 weeks of vacation to start, 9 paid holidays and accrued sick time that rolls over each year
    • Excellent and affordable health, vision, and dental benefits (health plan options start at just $39/month for single plans and $97/month for family plans after two months of employment)
    • A casual atmosphere and flexible work schedules, depending on the position's requirements
    • An exceptional pension plan with employer match and lifetime retirement payment, plus an optional tax advantaged 457 retirement savings plan
    • Well Wisconsin Wellness Program
    • A free and confidential employee assistance program that offers employees and their immediate family dependents a variety of tools, resources, and professional consultation services to support their health, goals, and overall wellbeing
    • Working for Wisconsin State Government may make you eligible for the Public Service Loan Forgiveness Program

    Position Summary


    This position will provide program management services to the Wisconsin Army National Guard, Installation Status Report (ISR) program. This position is responsible for managing the State ISR Program to include Infrastructure, Services, Services Cost Data, and Mission Capacity, on a full-time dedicated basis. This position maintains systems for data collection, data capture, and quality control compliance. Data is used to track performance, pacing measures, personnel, and resources to present trend analysis over multiple years as well as recommendations for strategic planning and performance metrics. The position will conduct facility infrastructure inspections.

    The ISR Infrastructure includes approximately 1.5 million square feet of Readiness Centers, 350,000 square feet of maintenance facilities, 215,000 square yards of civilian vehicle parking and roads, 230,000 square yards of government vehicle and equipment parking, and other supporting facilities such as security fencing and lighting, concrete pads and access aprons, loading docks, ramps, etc. ISR Services encompasses Command Support, Soldier and Family Support, Supply Services, Utility Services, Transportation Services, Environmental Services, Security Services, Personnel Services, Medical and Training. Areas within the scope of ISR-Mission Capacity are Air Quality, Energy Security, Renewable Energy, Land Use and Planning, Water Quality, Materials Management such as Hazardous Waste/Hazardous Materials and Solid Waste, Cultural Resources, Environmental Cleanup, and overall environmental quality of the Wisconsin Air National Guard. Ultimately the ISR program affects the mission readiness of approximately 7,500 Army National guard Soldiers.

    Salary Information


    Starting pay is $26.34-$36.00 per hour ($54,787-$74,880 annually). This position is in Pay Schedule/Range 07-03. A 12-month probationary period will be required. Pay on appointment for current or former state employees is based on the State Compensation Plan.

    Job Details

    • This position requires a valid driver’s license upon hire and as a condition of continued employment
    • This position requires possession and continued maintenance of a Common Access Card (CAC) for the purpose of accessing a federal computer system or application which is required to perform an essential job function. Acquiring a CAC requires the successful completion of a vetting and background check process.
    • Overnight travel at times, ability to drive to locations throughout the entire state. When driving to the northern regions, multiple site inspections may be scheduled and can take 3-4 days.
    • Occasional lifting of up to 25 lbs. and the ability to walk the entire property which may contain rough terrain and weather extremes.
    • All new employees are required to attend a New Employee Orientation course the first business day (Monday; Tuesday if Monday is a state holiday) of their first pay period.
    • The Department of Military Affairs does not sponsor work visas at the time of hire or anytime during employment. All persons hired will be required to verify identity and eligibility to work in the United States and complete the required Employment Eligibility Form I-9.

    Qualifications


    Minimally qualified applicants will have training and experience in the following:

    • Program oversight which includes analysis of program needs, identifying and coordinating program subject matter experts, establishing action items, establishing goals for program development and implementation, and creating procedures to implement
    • Collecting, organizing, and compiling data in order to write reports for recommend actions
    • Computer productivity software to include MS Word, Excel, PowerPoint, Project, Access
    • Working with a diverse array of stakeholders and customers


    Well qualified applicants will have the following experience
    :

    • Working with and following state and federal regulations, administrative rules, guidance, and plans, particularly as they relate to emergency management
    • Providing formal presentations/training
    • Managing projects from planning and strategy to research, collaboration, execution and/or distribution
    • Conducting physical inspections of different types of buildings and structures

    Your resume and letter of qualification are very important parts of your application. In these materials, you should clearly describe your education, training, and experience as they relate to the bulleted items listed above.

    Your qualifications should be addressed in your resume and expanded upon in your letter of qualifications. These materials are used during our evaluation process to determine your qualifications as they relate to the job.

    Here are instructions on developing your resume and letter of qualifications and what should be included in these materials. The vast majority of applicants are able to outline their background and experience in their resume in 1-3 pages; the same applies to the letter of qualification.

    How To Apply


    Click “Apply for Job” to start the application process. If you have not signed into your account, you will need to sign in before applying. If you do not have an account, click “Register Now” to register for an account and apply for the job. Follow the steps outlined in the application process and submit your application. You will be able to save your application as many times as needed and make edits up until the point you submit your application. Please note that once you submit your application, you will not be able to make any updates to the application or any materials submitted.

    You will be required to attach your current resume and letter of qualifications in a Word or PDF compatible format.

    For instructions on developing your resume and letter of qualifications and what should be included in these materials, click here. Submitted materials will be evaluated by a panel of job experts and the most qualified applicants will be invited to participate in the next step of the selection process.

    Permanent classified state employees who are eligible for consideration (transfer, voluntary demotion, or reinstatement) should complete the online application process by the stated deadline.

    Applications must be submitted through Wisc.Jobs. Failure to submit all required materials will result in an incomplete application and ineligibility for this position. Application materials will not be accepted if received in an incompatible format, an email, as a hard copy, or a fax.

    The Department of Military Affairs is an equal opportunity employer. Women, minorities, and people with disabilities are encouraged to apply. For complete information on veterans’ hiring programs that may benefit you, please visit the Employment Assistance page on the Wisconsin Department of Veterans Affairs’ website.

    If viewing through an external site, please click here to apply directly at Wisc.Jobs.

    We appreciate the time and effort it takes to apply for positions. If any questions arise, please contact Lori Roy, HR Specialist at lori.roy@widma.gov or 608-640-9012. For general wisc.jobs user information and technical assistance, please see the Frequently Asked Questions.

    Deadline to Apply


    The deadline to apply is 11:59 PM on Tuesday, May 7, 2024.


    If you have technical difficulties, the Wisc.jobs helpdesk is available Monday-Friday, 7:45 a.m. - 4:30 p.m. at 608-267-1012 or wisc.jobs@wisconsin.gov. Some applicants report better performance when using the Chrome browser.

  • 2 Days Ago

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Program and Policy Analyst - Adv.
  • State of Wisconsin
  • Madison, WI FULL_TIME
  • Introduction It is the mission of the Wisconsin Department of Justice (DOJ) to protect the public and ensure that justice is done. To continue to meet this mission, the principles of equity, inclusion...
  • 22 Days Ago

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Building Codes Policy Analyst
  • SLIPSTREAM GROUP INC
  • Madison, WI OTHER
  • Job Details Job Location: Remote - 53719, WI Position Type: Full Time Salary Range: $63,000.00 - $80,000.00 Salary/year Job Shift: Any Job Category: Other DescriptionSlipstream is seeking a passionate...
  • 10 Days Ago

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Program and Policy Analyst - Adv
  • State of Wisconsin
  • Madison, WI FULL_TIME
  • Introduction The Division of Energy, Housing, and Community Resources (DEHCR), Program Development Section is recruiting for one Program and Policy Analyst at the Advanced level to support the program...
  • 15 Days Ago

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Senior Policy Analyst
  • Wisconsin Economic Development Corporation
  • Madison, WI OTHER
  • Wisconsin Economic Development Corporation Position Description Position Title: Senior Policy Analyst Department: Policy &Program development Reports to: Senior Director of Policy Position(s) Supervis...
  • 1 Month Ago

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Program and Policy Analyst-Adv
  • State of Wisconsin
  • Madison, WI FULL_TIME
  • Introduction The Department of Corrections, Division of Juvenile Corrections, is focused on public safety through the custody and supervision of youth placed in our care. Juvenile Corrections employee...
  • 1 Month Ago

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0 Medical Policy Manager jobs found in Madison, WI area

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Remote Licensed Clinical Psychologist
  • Headway
  • Madison, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Madison, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Madison, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Madison, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Madison, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Madison, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Madison, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Madison, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM

Madison is located in the center of Dane County in south-central Wisconsin, 77 miles (124 km) west of Milwaukee and 122 miles (196 km) northwest of Chicago. The city completely surrounds the smaller Town of Madison, the City of Monona, and the villages of Maple Bluff and Shorewood Hills. Madison shares borders with its largest suburb, Sun Prairie, and three other suburbs, Middleton, McFarland, and Fitchburg. Other suburbs include the city of Verona and the villages of Cottage Grove, DeForest, and Waunakee as well as Mount Horeb, Oregon, Stoughton, and Cross Plains among others. According to th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$128,883 to $157,340
Madison, Wisconsin area prices
were up 1.3% from a year ago

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