Medical Policy Manager jobs in Rockford, 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)

S
HR Consulting & Policy Compliance Manager
  • SwedishAmerican / A Division of UW Health
  • Rockford, IL FULL_TIME
  • Supervisory/Management
    SwedishAmerican / A Division of UW Health
    SAH HR EMPLOYEE RELATIONS
    Full Time · Day Shift · 8:00am-5:00pm

    POSITION SUMMARY:

    The Human Resources (HR) Business Partner provides consultative support for workforce issues that impact the overall operational strategy for the core business functions of the organization and the assigned client groups. The HR Business Partner serves as the primary point of contact to leaders related to human resource management, policies, procedures, employment law and fundamentals of all core areas of human resources and ensures ease of access to HR deliverables for clients. Specific consultative services that the HR Business Partner will provide include:

    Counsel and support in all areas of human resource management including staffing and retention, employee engagement, workforce safety, employee relations, talent planning, performance management, compensation, benefits, equal employment opportunity, affirmative action, organizational development, and compliance with employment and regulatory requirements. The HR Business Partner will call upon subject-matter experts within HR to meet client needs as deeper analysis and support is needed.

     Consult and work with client group leadership to resolve human resources related issues and concerns impacting the work environment and a just culture for all staff.

     Develop strong and supportive relationships with key operational leaders.

    EDUCATION/TRAINING:

    Bachelor’s Degree in Business, Human Resources or related field required. Master’s Degree preferred.

    At least five years of progressively more responsible experience in Human Resources.

    Three (3) – five (5) three years of experience in an Employee Relations position preferred.

    LICENSURE/CERTIFICATION:

    PHR/SPHR/SHRM – CP/SHRM - SCP designations are highly desirable.

    EXPERIENCE/SKILLS/ABILITIES:

    Familiarity with Human Resources policies and procedures and applicable Federal and State laws and regulations. Full understanding of all HR functions and best practices, and a thorough knowledge of labor legislation. Possesses demonstrable experience in HR metrics. Proficient in a variety of computer applications. Excellent communication, planning, conflict management, organization and critical thinking/decision making skills required. Strong interpersonal skills and ability to interact with all levels of staff within the organization and resources within the community. Successful completion of annual job specific competencies and skill verification tools required.

  • 1 Month Ago

F
Clinical Manager
  • Fresenius Medical Care
  • Janesville, WI FULL_TIME
  • About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be pa...
  • 25 Days Ago

H
Medical Clinic Manager
  • HealthNet of Rock County, Inc.
  • Janesville, WI FULL_TIME
  • Medical Clinic Director (Nursing) HealthNet of Rock County provides medical, dental, vision, and behavioral health services to low-income, uninsured, and underinsured individuals of Rock County, WI. T...
  • 6 Days Ago

C
Case Manager Medical Services
  • Careers
  • Rockford, IL FULL_TIME
  • Position Purpose: Provides mental health rehabilitation services and supports adults and families to decrease hospitalization and crisis episodes and to increase community functioning in order for the...
  • 1 Month Ago

U
Manager of Emergency Medical Services
  • UW Health in Northern Illinois
  • Rockford, IL FULL_TIME
  • POSITION SUMMARY: Provides management support and coordinates department operations with 24 hour accountability, ensuring quality and cost-effective service. Conducts all levels of EMS education progr...
  • 2 Months Ago

Z
Territory Manager - Huntley, IL
  • Zoll Medical Corporation
  • Huntley, IL FULL_TIME
  • Territory Manager - Huntley, IL Location: Remote, IL, United States of America Cardiac Management Solutions At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provid...
  • 2 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Manager jobs found in Rockford, IL area

H
Remote Licensed Mental Health Counselor
  • Headway
  • Rockford, IL
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $89-$129 an hour Are you a Licensed Mental Health Counselor...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Clinical Psychologist
  • Headway
  • Rockford, IL
  • Remote Licensed Clinical Psychologist Wage: Between $89-$196 an hour Are you a Licensed Clinical Psychologist looking to...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Psychiatrist
  • Headway
  • Rockford, IL
  • Remote Licensed Psychiatrist Wage: Between $156-$261 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Clinical Social Worker
  • Headway
  • Rockford, IL
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $89-$129 an hour Are you a Licensed Clinical Social Worker l...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Marriage and Family Therapist
  • Headway
  • Rockford, IL
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $89-$129 an hour Are you a Licensed Marriage and Fami...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Professional Counselor
  • Headway
  • Rockford, IL
  • Remote Licensed Professional Counselor (LPC) Wage: Between $89-$129 an hour Are you a Licensed Professional Counselor lo...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Rockford, IL
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $156-$228 an hour Are you a licensed Psychiatric Nurse look...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Mental Health Therapist
  • Headway
  • Rockford, IL
  • Remote Licensed Mental Health Therapist (LMHT) Wage: Between $89-$129 an hour Are you a Licensed Mental Health Therapist...
  • 4/16/2024 12:00:00 AM

Rockford is a city in Winnebago County in the U.S. state of Illinois, in far northern Illinois. Located on the banks of the Rock River, Rockford is the county seat of Winnebago County (a small portion of the city is located in Ogle County). The largest city in Illinois outside of the Chicago metropolitan area, Rockford is the third-largest city in the state and the 171st most populous in the United States According to 2010 U.S. Census Data, the City of Rockford had a population of 152,871, with an outlying metropolitan area population of 348,360. The City of Rockford's population is 147,051...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$127,836 to $156,062
Rockford, Illinois area prices
were up 1.3% from a year ago

Medical Policy Manager in Casper, WY
The Medical Policy Portal offers streamlined navigation to the various types of policies available.
February 14, 2020
Medical Policy Manager in Saint Paul, MN
The expanded policy, called the Air Force Memorandum for Appearance and Accession Standards Review, gives applicants with previously disqualifying medical conditions a second chance on a case-by-case basis.
February 12, 2020
Medical Policy Manager in Atlantic City, NJ
Get the latest updates to Blue Cross NC's medical policies.
January 14, 2020