Medical Policy Manager jobs in Peoria, IL

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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Enviromental Policy Coordinator
  • Illinois Soybean Board
  • Bloomington, IL FULL_TIME
  • Illinois Soybean Association (ISA) is a statewide organization that strives to enable Illinois soybean producers to be the most knowledgeable and profitable soybean producers in the world.

    The Environmental Policy Coordinator will coordinate with relevant stakeholders and build relationships in support of the ISA’s environmental policy objectives. This position will handle the analysis of key issues and execute organization strategies to support farmers on environmental policy issues.

    Essential Duties and Responsibilities

    • Work with the ISA Gov. Relations and Agronomy teams to coordinate actions for and positions on key environmental policy. Serve as a liaison between the two departments and develop strong interconnection between policy and agronomic efforts.
    • Develop expertise in key areas such as environmental programs, USDA agency regulation, USDA farm programs, crop insurance, ag inputs regulation, in addition to other areas as assigned.
    • Represent the organization at industry and associated meetings eg. IEPA NLRS, NREC, ISAP, Soil Health Week, and other groups.  
    • Supports ISG advocating policy positions before the state legislature and state administrative agencies through direct lobbying, coordinating lobbying efforts among similarly interested groups.
    • Researches, drafts, analyzes, and monitors proposed legislation and administrative regulations, and drafts amendments for the same. Analyzes and summarizes legislation for leaders, legislative publications, electronic publications, and ISA communications; provides information on pending legislation to the Government Relations Committee.
    • Works to apply agronomic data and perspectives into policy operations.
    • Reviews, researches, and analyses impacts of carbon reduction programs on Illinois farmers and advises the organization on their impact.
    • Play a role in all relevant governmental affairs working groups with the appropriate trade and membership associations.

    Competencies

    • Able to work independently or cooperatively with others on a team.
    • Ability to analyze problems, develop a path toward problem solving, and manage the process to completion.
    • Capacity to make decisions and communication with tact and professionalism.
    • Strong multi-tasking skills with a comfort in maintaining multiple, often conflicting priorities.
    • Strong written and oral communications with internal and external audiences.
    • Strong relationship building skills and ability to thrive within a rapidly changing environment.
    • Experience in developing and implementing sponsored, community initiatives.
    • Works well under pressure with an ability to manage multiple projects and initiatives simultaneously.
    • Strong organizational skills, ability to focus both on detail and the larger picture. Exhibits a high level of critical/strategic thinking.

    Required Qualifications

    • Bachelor’s degree in political science, agronomy, ag policy, or related field.
    • Graduate’s degree in agronomy or crop sciences is encouraged.
    • 3 years in agronomic programs, public policy, or corporate public affairs experience.
    • Moderate understanding of U.S., Illinois, and local government; including structure, key decisionmakers, and process.

     

    Physical Requirements

    • Normal office working conditions.
    • Must be available to travel offsite for meetings/events when necessary.
    • Must be available after hours and weekends to trouble shoot problems that may arise.
    • Some physical demands – may need to lift between 35-50 lbs.
  • 7 Days Ago

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Medical Case Manager
  • TASC, Inc
  • Peoria, IL FULL_TIME
  • DescriptionAt TASC (Treatment Alternatives for Safe Communities) our mission is to build a healthier, safer, more just society. Since 1976, we have been guided by the belief that every individual hold...
  • 17 Days Ago

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Manager of Plant Operations and Maintenance
  • Hopedale Medical Complex
  • Hopedale, IL FULL_TIME
  • Manager of Plant Operations and Maintenance HMC Offers: Tuition Reimburse Excellent benefits Quality childcare located in Hopedale Wellness Center membership 401(k) plan with employer match Employee D...
  • 3 Days Ago

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Compliance & Quality Manager
  • Advanced Medical Transport
  • Peoria, IL OTHER
  • Job Details Job Location: Peoria Market - Peoria, IL Position Type: Full Time Salary Range: Undisclosed DescriptionJoin Team AMT! Now hiring for Compliance and Quality Manager! Advanced Medical Transp...
  • 4 Days Ago

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Patient Accounts Manager
  • Hopedale Medical Complex
  • Hopedale, IL FULL_TIME
  • Patient Accounts Manager Job Preview The Manager of Patient Accounts is responsible for enhancing and properly maintaining the functioning revenue cycle processes. Manages the daily operations includi...
  • 9 Days Ago

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Associate Territory Manager - Peoria / Quad Cities
  • Zoll Medical Corporation
  • Peoria, IL FULL_TIME
  • Associate Territory Manager - Peoria / Quad Cities Location: US IL, Peoria Cardiac Management Solutions At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide in...
  • 17 Days Ago

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0 Medical Policy Manager jobs found in Peoria, IL area

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Pharmacist- Sign-On Bonus and Relocation Available
  • Walgreens
  • Peoria, IL
  • Job Objectives Provides pharmacy consulting services with empathy to patients regarding the effective usage of medicatio...
  • 4/24/2024 12:00:00 AM

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Pharmacist- Sign-On Bonus Available
  • Walgreens
  • Peoria, IL
  • Job Objectives Provides pharmacy consulting services with empathy to patients regarding the effective usage of medicatio...
  • 4/24/2024 12:00:00 AM

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Pharmacist- Sign-On Bonus and Relocation Available
  • Walgreens
  • East Peoria, IL
  • Job Objectives Provides pharmacy consulting services with empathy to patients regarding the effective usage of medicatio...
  • 4/24/2024 12:00:00 AM

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Pharmacist- Sign-On Bonus Available
  • Walgreens
  • Pekin, IL
  • Job Objectives Provides pharmacy consulting services with empathy to patients regarding the effective usage of medicatio...
  • 4/24/2024 12:00:00 AM

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MRI Technologist
  • Carle Foundation Hospital
  • Peoria, IL
  • * Clinical Excellence/Patient Care* Performs MRI procedures in a manner that ensures an accurate and complete examinatio...
  • 4/24/2024 12:00:00 AM

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CDL-A Company Tanker Truck Drivers
  • Fort Transfer
  • Peoria, IL
  • Fort Transfer, a division of Kenan Advantage Group, is currently hiring Dedicated Company Truck Drivers in your area! Jo...
  • 4/24/2024 12:00:00 AM

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Cardiac Cath Lab - Registered Nurse
  • Trusted Health
  • Peoria, IL
  • Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel ...
  • 4/22/2024 12:00:00 AM

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Nuclear Medicine - Radiologic Tech
  • Trusted Health
  • Peoria, IL
  • Trusted is seeking an experienced allied health professional for this exciting travel assignment. Trusted has streamline...
  • 4/22/2024 12:00:00 AM

Peoria (/piˈɔːriə/ pee-OR-ee-ə) is the county seat of Peoria County, Illinois, and the largest city on the Illinois River. Established in 1691 by the French explorer Henri de Tonti, Peoria is the oldest European settlement in Illinois, and is named after the Peoria tribe. As of the 2010 census, the city was the seventh-most populated in Illinois (and the third largest outside the Chicago metropolitan area), with a population of 115,007. The Peoria Metropolitan Statistical Area had a population of 373,590 in 2011. Until 2018, Peoria was the global and national headquarters for Caterpillar Inc.,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$125,873 to $153,666
Peoria, Illinois area prices
were up 1.3% from a year ago

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