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)
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:
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.
Minimally qualified applicants will have training and experience in the following:
Well qualified applicants will have the following experience:
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.
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.
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The deadline to apply is 11:59 PM on Tuesday, May 7, 2024.
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0 Medical Policy Manager jobs found in Madison, WI area