Medical Policy Manager jobs in New Britain, CT

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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Grants And Contracts Specialist
  • State of Connecticut - DEEP Bureau of Energy & Tech Policy
  • New Britain, CT FULL_TIME
  • Introduction

    The State of Connecticut, Department of Energy and Environmental Protection (DEEP) is seeking a Grants and Contracts Specialist for our Bureau of Energy and Technology Policy (BETP). BENEFITS AND BALANCE AT THE STATE OF CONNECTICUT State of Connecticut employees participate in a competitive benefits plan that includes: NEW: A Platinum Healthcare Plan, the nation’s best for state employees and dependents, according to a report by Georgetown’s Center on Health Insurance Reform and article by Ellen Andrews, Ph.D., along with comprehensive benefit offerings. Sick, vacation, and personal leave. Student Loan Forgiveness - the State of Connecticut is an eligible Public Service Loan Forgiveness employer, meaning you may be eligible to have qualifying student loans forgiven after 10 years of service. Click here for more information. We encourage a healthy work/life balance to all employees. Discover the opportunity to: Work for a Forbes top company: ‘Forbes’ State of Connecticut Ranked One of the Best Employers of 2023 - State of CT Receives National Recognition for Offering Job Growth, Competitive Benefits, and Flexible Schedule. Engage in a rewarding career. Assist our employees so they can achieve success. Make a difference in the public sector. Work together in a collaborative team environment. Our state has a lot to offer - from fun activities for all ages, to great food and shopping, to beautiful state parks and forests, to our diverse cultures and rich history. Connecticut is a great place to live! Learn more about Connecticut here.� POSITION HIGHLIGHTS This hybrid position is full-time on first shift, 40 hours per week, Monday through Friday� Location: New Britain, Connecticut� YOUR ROLE BETP seeks a Grants and Contracts Specialist to support the Agency in the planning, implementation, management, and evaluation of federal and state grant funding related to building and transportation decarbonization programs. Responsibilities will include, but may not be limited to:�working with a team on program development; liaising with granting entities and grantees; grant administration, oversight and compliance; and grant assessment and reporting. This recruitment may also be used to fill other positions within BETP or, more broadly, within DEEP. The office to which you are ultimately assigned will be determined by the agency and can change depending upon business needs. You may also be assigned to projects with work across all offices in BETP. In all areas, equitable policy and program design and inclusive processes for public input are prioritized. More details can be found in the class specification. ABOUT US The Connecticut Department of Energy and Environmental Protection (DEEP) is charged with conserving, improving and protecting the natural resources and the environment of the state of Connecticut as well as making cheaper, cleaner and more reliable energy available for the people and businesses of the state. The agency is also committed to playing a positive role in rebuilding Connecticut’s economy and creating jobs – and to fostering a sustainable and prosperous economic future for the state. The Bureau of Energy and Technology Policy (BETP) is charged with: Developing policies and programs to mitigate and adapt to the impacts of climate change. Conserving, improving and protecting Connecticut’s natural resources and environment. Providing equitable access to broadband and affordable, clean and reliable energy to the people and businesses of the state. As an employee of BETP, you will work within one of its four offices, all of which are in New Britain: The Office of Energy Supply and Infrastructure (OESI) OESI is responsible for developing policy related to renewable energy, conducting procurements for renewable energy to meet our state’s zero carbon electric grid goal, and implementing programs related to grid resilience and energy supply decarbonization. The Office of Building and Transportation Decarbonization (OBTD) OBTD works to research opportunities, challenges, and technologies that inform equitable and inclusive policy development centered around decarbonizing the building and transportation sectors. In addition, staff help advance the impact of equitable statewide energy efficiency investment and accelerate the transition of residential, commercial, and transportation sectors from fossil fuels to low-carbon alternatives. The Office of Affordable Housing and Energy Retrofits (OAHER) OAHER designs and administers programs that reduce the energy burden of low- and moderate -income households through weatherization, decarbonization, and health and safety barriers remediation. With a specific focus on disadvantaged communities, OAHER targets emissions reduction goals in the affordable housing sector through participatory and inclusionary practices that improve the public health and wellness of vulnerable communities. The Office of Telecommunications and Broadband (OTB) OTB is focused on developing equitable policies and programs to bring the economic and social benefits of broadband access to the residents and businesses of Connecticut. Specifically, OTB works to ensure the universal availability and accessibility of high quality, affordable telecommunications services to all residents and businesses in the state. Learn more about what it's like to be an employee with the State of Connecticut:� \t\t\t\t\t\t� � \t\t\t\t\t�

    Selection Plan

    This is a competitive recruitment and open to the public. For current state employees, salary calculations are not necessarily comparable from one of the three branches of state government (i.e. Executive, Legislative, Judicial) to the other. TO APPLY: In order to be considered for this job opening, you must meet the Minimum Qualifications as listed on this job opening. You must specify your qualifications on your application. The minimum experience and training requirements must be met by the close date on the job opening, unless otherwise specified. Ensure that your application is complete and detailed before submitting it. In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process. You will not be able to make revisions once your application is submitted into the JobAps system. Please select all location(s) and shift(s) you are willing to work on your application. Failure to do so may result in not being considered for vacancies in that specific location or shift. In order to receive educational credits toward qualification for this job posting, the institution must be accredited. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the recruiter listed on this job posting. All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period. It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception. Requests should be made to DAS.SHRM@ct.gov. FOR ASSISTANCE IN APPLYING: Please read or watch our Applicant Tips on How to Apply! IMPORTANT INFORMATION AFTER YOU APPLY: This posting may require completion of additional referral questions (RQs). You can access these RQs via an email that will be sent to you after the posting's closing date or by visiting your JobAps Personal Status Board (Certification Questionnaires section). Your responses to these RQs must be submitted by the questionnaire's expiration date. Please regularly check your email and JobAps Personal Status Board for notifications. Please check your SPAM and/or Junk folders on a daily basis in the event an email provider places auto-notification emails in a user's spam. Although applicants will receive correspondence via email, as a backup they are also encouraged to sign on to their Personal Status Board on a daily basis to monitor their status, view all emailed notices and complete tasks required in the recruitment process. Note: At any point during the recruitment process, applicants may be required to submit additional documentation which support their qualification(s) for this position. These documents may include: a cover letter, resume, performance reviews, attendance records, supervisory references, licensure, etc., at the discretion of the hiring agency. Interviews will be limited to candidates whose experience and training most closely meet the requirements of the position. The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class. Read through this helpful link to prepare for your interview. CONNECT WITH US: Due to the large volume of applications received, we are unable to provide confirmation of receipt or status during the recruitment process. Updates will be available through your JobAps portal account. Should you have any questions pertaining to this recruitment, please contact Samantha.Rivera@CT.Gov Follow the State of Connecticut on LinkedIn.

    PURPOSE OF JOB CLASS (NATURE OF WORK)

    In a state agency this class is accountable for performing as a specialist in planning, implementation, management and evaluation of a large complex grant program or group of programs in one field where responsibilities are assumed for program development, liaison and coordination with federal, state and community agencies and organizations, program implementation and administration, program monitoring and assessment.

    EXAMPLES OF DUTIES

    Performs specialized related duties in the area of grants management;� Performs research to support the application for or the disbursement of grants including needs analysis, literature review and regulations critique to identify problems and determine priorities;� Develops alternatives;� Gathers information related to program area;� Develops goals and objectives, evaluation standards, timetables, other program components and department policy for program area and individual projects;� Prepares grant proposals;� Monitors use of grant monies awarded to agency to ensure adherence to all terms and conditions;� Facilitates direct grant process;� Provides technical assistance and acts as resource person to grantees;� Evaluates program proposals and applications for conformance with regulations and state goals;� Recommends funding; prepares contracts and agreements related to grant activities;� Monitors and assesses ongoing programs for conformance to reporting requirements, general budget and timetable guidelines and program effectiveness;� Prepares quarterly and annual reports and statewide annual plan or section of plan related to program local area;� Attends meetings of appropriate state, local and regional organizations and performs other liaison functions to coordinate efforts in program area;� Performs related duties as required.

    KNOWLEDGE, SKILL AND ABILITY

    Considerable knowledge of grant preparation and administration;� program evaluation and monitoring functions;� Knowledge of research methods and techniques;� budget preparation and monitoring;� Considerable interpersonal skills;� oral and written communication skills;� Ability to utilize computer software;� Supervisory ability.

    MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

    Seven (7) years of experience in planning, implementation and/or management of grant programs on a community, state or federal level.

    MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

    College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree. A Master's degree in a closely related field may be substituted for one (1) additional year of the General Experience.

    PREFERRED QUALIFICATIONS

    Experience implementing federally funded programs. Experience contributing to the design of grant programs to meet objectives. Experience drafting requests for proposals and contract language. Experience with contract administration. Experience managing subgrant programs. Experience with grant compliance including application of laws, rules, and regulations governing expenditures of funds. Experience tracking fiscal information in the form of financial reports. Experience analyzing grants management data, providing conclusions, and making data-based recommendations. Experience summarizing and communicating program progress stakeholders.

    Conclusion

    AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.

    ACKNOWLEDGEMENT

    As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.�

  • Just Posted

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Energy and Environmental Protection Office Director (Program)
  • State of Connecticut - DEEP Bureau of Energy & Tech Policy
  • New Britain, CT FULL_TIME
  • Introduction The State of Connecticut, Department of Energy and Environmental Protection (DEEP), has an exciting opportunity for an Office Director for the newly-created Office of Federal and Regional...
  • 5 Days Ago

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • NEW BRITAIN, CT FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 12 Days Ago

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • Farmington, CT FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 15 Days Ago

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Medical Spa Manager
  • Medspa Boutique
  • Southington, CT FULL_TIME
  • About us Medspa Boutique is a small business in Southington, CT. We are professional, growth oriented and customer focused Our work environment includes: Modern office setting Growth opportunities Rel...
  • Just Posted

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Medical Center Manager
  • Concentra Career Choice
  • Waterbury, CT FULL_TIME
  • Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our ...
  • 8 Days Ago

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0 Medical Policy Manager jobs found in New Britain, CT area

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Remote Licensed Clinical Psychologist
  • Headway
  • New Britain, CT
  • 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
  • New Britain, CT
  • 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
  • New Britain, CT
  • 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
  • New Britain, CT
  • 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
  • New Britain, CT
  • 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
  • New Britain, CT
  • 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 Psychiatric Nurse Practitioner
  • Headway
  • New Britain, CT
  • 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

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Remote Licensed Marriage and Family Therapist
  • Headway
  • New Britain, CT
  • 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

New Britain is a city in Hartford County, Connecticut, United States. It is located approximately 9 miles (14 km) southwest of Hartford. According to 2010 Census, the population of the city is 73,206. Among the southernmost of the communities encompassed within the Hartford-Springfield Knowledge Corridor metropolitan region, New Britain is home to Central Connecticut State University and Charter Oak State College. The city's official nickname is the "Hardware City" because of its history as a manufacturing center and as the headquarters of Stanley Black & Decker. Because of its large Polish p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$140,004 to $170,917
New Britain, Connecticut area prices
were up 1.7% from a year ago

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