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)
We are in search of a capable candidate to play a key role in a broad spectrum of projects, encompassing everything from large utility infrastructure projects and athletic fields to land development work and higher education facilities. This dynamic position involves direct engagement with clients in the public sector, offering the candidate a valuable opportunity to interact directly with them. The role requires versatility, as the candidate will contribute to projects with diverse scopes, showcasing their ability to navigate challenges across various disciplines.
Duties
Salary Range: $65,000 - $90,000 per year
The specific salary offered may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location.
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