Medical Policy Manager jobs in Melbourne, FL

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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Launch Policy Support
  • SAIC
  • Cape Canaveral, FL FULL_TIME
  • Job ID: 2401992

    Location: CAPE CANAVERAL, FL, US

    Date Posted: 2024-02-08

    Category: Engineering and Sciences

    Subcategory: Specialty Engr

    Schedule: Full-time

    Shift: Day Job

    Travel: Yes, 10 % of the Time

    Minimum Clearance Required: TS/SCI

    Clearance Level Must Be Able to Obtain: TS/SCI with Poly

    Potential for Remote Work: No


    Description

    SAIC's Space and Intelligence Business Group has an opening for a Launch Policy Engineer who provides strategic support to the local squadron commander and launch policy support to the Launch Enterprise Policy Office, to include governance, policy, business functions, briefings, interagency support, action item responses, strategic planning, risk management, and Launch Enterprise documentation.

    • Advise and assist the Government through review, analysis, interpretation, impact assessments and alternatives/recommendations to proposed changes in any programmatic area
    • Develop, draft, and coordination action item responses
    • Develop and draft implementation strategies, priorities, and policy positions
    • Develop and implement strategic positions and requirements
    • Provide strategic support to ensure government equities are protected in accordance with policy and governance
    • Develop and coordinate interagency launch policies and governance products
    • Evaluate current and proposed policy/processes/procedures for identification of efficiency or effectiveness improvements
    • Administer a process for ensuring consistent and current documentation, process, and procedures
    • Ensure documents, processes, and procedures adhere to approved policies, directives, and guidelines, including identifying any non-compliances and developing approaches to return to compliance
    • Provide interagency support to include drafting and coordinating interagency agreements supporting the Launch Enterprise
    • Lead/host/facilitate and develop products for collaborative launch forums
    • Oversee and manage the operational aspects of ongoing projects and serve as liaison between government customers and external/internal stakeholders
    • Assess issues associated with tasks/projects and develop resolutions to satisfy customer goals and objectives
    • Facilitate and participate in organizational meetings and prepare associated briefings and status reporting
    • Frequent interaction with government senior decision makers, SETA, FFRDC, external stakeholders, and development contractors
    • Advise and assist the Government through review, analysis, interpretation, impact assessments and alternatives/recommendations to proposed changes in any programmatic area
    • Develop, draft, and coordination action item responses
    • Develop and draft implementation strategies, priorities, and policy positions
    • Develop and implement strategic positions and requirements
    • Provide strategic support to ensure government equities are protected in accordance with policy and governance
    • Develop and coordinate interagency launch policies and governance products
    • Evaluate current and proposed policy/processes/procedures for identification of efficiency or effectiveness improvements
    • Administer a process for ensuring consistent and current documentation, process, and procedures
    • Ensure documents, processes, and procedures adhere to approved policies, directives, and guidelines, including identifying any non-compliances and developing approaches to return to compliance
    • Provide interagency support to include drafting and coordinating interagency agreements supporting the Launch Enterprise
    • Lead/host/facilitate and develop products for collaborative launch forums
    • Oversee and manage the operational aspects of ongoing projects and serve as liaison between government customers and external/internal stakeholders
    • Assess issues associated with tasks/projects and develop resolutions to satisfy customer goals and objectives
    • Facilitate and participate in organizational meetings and prepare associated briefings and status reporting
    • Frequent interaction with government senior decision makers, SETA, FFRDC, external stakeholders, and development contractors

    .

    Qualifications

    Qualifications, including training and education:

    • Bachelor’s degree with at least 5 years of relevant experience; or Master’s degree with 3 years of relevant experience
    • TS/SCI clearance with CI Polygraph
    • Experience with Microsoft Office tools (PowerPoint, Excel, Word)
    • Strong communication and coordination skills necessary
    • Understanding of handling sensitive information with discretion

    Desired Qualifications:

    • Three years of space launch experience
    • Three years of policy experience


    Covid Policy: SAIC does not require COVID-19 vaccinations or boosters. Customer site vaccination requirements must be followed when work is performed at a customer site.
  • 15 Days Ago

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Operations Manager
  • Medical Data Systems
  • Melbourne, FL FULL_TIME
  • Job Description: Manager of Medical Debt CollectionsMDS is a company with over 30 years of experience in revenue cycle management and collections. We are known for our innovative and trustworthy appro...
  • 13 Days Ago

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Manager Medical Staff Services
  • Cleveland Clinic
  • Vero Beach, FL FULL_TIME
  • Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At C...
  • 1 Day Ago

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Non-Medical Case Manager
  • The Brevard Health Alliance Inc
  • Melbourne, FL FULL_TIME
  • Come launch the next step in your career where America launched its Space Program. Brevard Health Alliance, Brevard County’s only Federally Qualified Health Center, is currently recruiting for a Non-M...
  • 1 Month Ago

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Kennel Manager
  • Veterinary Medical Center of Indian River County
  • Vero Beach, FL FULL_TIME
  • Come grow with us! Veterinary Medical Center of Indian River County is a new, small animal hospital serving the Vero Beach community and surrounding areas. Our mission is to provide top quality servic...
  • 2 Days Ago

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Assistant Nurse Manager Medical Surgical
  • AdventHealth Sebring Wauchula Lake Placid
  • Sebring, FL FULL_TIME
  • Description All the benefits and perks you need for you and your family: Benefits from Day One Paid Days Off from Day One Student Loan Repayment Program Sign-on Bonus* Relocation Bonus* Our promise to...
  • 1 Month Ago

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0 Medical Policy Manager jobs found in Melbourne, FL area

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Restaurant Manager
  • Dunkin'
  • Melbourne, FL
  • Brewing Brand is currently hiring for a RESTAURANT MANAGER to join our Dunkin' network! We'll let you in on a little sec...
  • 4/26/2024 12:00:00 AM

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Specimen Processor I
  • JobRialto
  • Melbourne, FL
  • Summary: The specimen processor must maintain departmental production goals to ensure hourly specimen flow to the labs a...
  • 4/26/2024 12:00:00 AM

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Associate Administrator - Developing Future CEO Program
  • Encompass Health Corp.
  • Melbourne, FL
  • Join on the heart-warming journey with a team that is a top leader in the rehabilitation industry Encompass Health is th...
  • 4/26/2024 12:00:00 AM

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Mental Health Therapist or Social Worker
  • Bella Mental Health Services Llc
  • Melbourne, FL
  • Job Description Job Description Mental Health Counselor: Melbourne and Virtual We are the first private mental health pr...
  • 4/26/2024 12:00:00 AM

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Sales Associate / Key Sales / Seasonal Opportunities - Banter by Piercing Pagoda - Melbourne Square - Store 929 - Melbourne, FL
  • Signet Jewelers
  • Melbourne, FL
  • We have many opportunities available on our other career site pages. Click here to link to our careers page! "Be More Yo...
  • 4/25/2024 12:00:00 AM

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Medical Courier - $16.50
  • OneBlood
  • Melbourne, FL
  • Overview: Transport blood, blood products, campus mail, supplies, and medical equipment between processing/distribution ...
  • 4/25/2024 12:00:00 AM

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Registered Nurse
  • HCAOA
  • Melbourne, FL
  • Are you looking for a Registered Nurse job where you can make a difference in a person's life? Do you want to work for a...
  • 4/24/2024 12:00:00 AM

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Primary Care APRN
  • Health First
  • Melbourne, FL
  • POSITION SUMMARY: To be fully engaged in providing No Harm / Quality, Customer Experience, and Stewardship by: providing...
  • 4/24/2024 12:00:00 AM

Melbourne /ˈmɛlbərn/ is a city in Brevard County, Florida, United States. As of the 2010 census, the population was 76,068. The municipality is the second-largest in the county by both size and population. Melbourne is a principal city of the Palm Bay – Melbourne – Titusville, Florida Metropolitan Statistical Area. In 1969 the city was expanded by merging with nearby Eau Gallie. Melbourne is located approximately 60 miles (97 km) southeast of Orlando on the Space Coast, along Interstate 95. It is approximately midway between Jacksonville and Miami. According to the United States Census Bureau,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$119,462 to $145,839
Melbourne, Florida area prices
were up 1.5% from a year ago

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