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)
What You’ll Get to Do:
CACI is seeking professionally curious, resourceful, customer-oriented candidates able to quickly learn new business processes, and perform independently in a fast paced, challenging environment. We are looking for a motivated experienced individual to answer Federal Travel Policy question for our unique and growing business with the Federal Bureau of Investigations (FBI). Must be a self-starter, driven and have great grammar.
Serves as the point of contact answering travel policy questions and resolving travel issues. Respond to travel policy issues in a timely and efficient manner helping reduce the time associated with incident resolution. While the main focus is supporting TRIP (Government Travel System), during high demand periods, the candidate will be responsible also to address overflow calls related to other applications and processes as needed. Will have an opportunity to learn other federal financial systems that we support as well as vendor processing.
Manage open tickets in the ticketing tool, escalate and follow through as needed until resolved. Ensure appropriate procedures are followed, obtain feedback from government personnel and propose actions for process improvement when appropriate.
More About the Role:
- Knowledge Management – Document procedures and policies; include FAQ items; create knowledge base articles ensuring knowledge sharing. Instill a continuous improvement mindset to drive best-practice support processes. Update the existing documents detailing processes, procedures, and where to find information about TRIP.
- Training – Assist entry-level or more junior technicians with internal training. Develop a comprehensive training program on the end-to-end business process and policies encompassing Travel Policy, TRIP and UFMS. The training program includes both end users as well new resources coming onboard.
You’ll Bring These Qualifications:
These Qualifications Would be Nice to Have:
What We Can Offer You:
- We’ve been named a Best Place to Work by the Washington Post.
- Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives.
- We offer competitive benefits and learning and development opportunities.
- We are mission-oriented and ever vigilant in aligning our solutions with the nation’s highest priorities.
- For over 55 years, the principles of CACI’s unique, character-based culture have been the driving force behind our success.
Company Overview:
CACI is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other protected characteristic.
Pay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive compensation, benefits and learning and development opportunities. Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits. Learn more here
The proposed salary range for this position is:
$44,700 - $91,700Clear All
0 Medical Policy Manager jobs found in Pocatello, ID area