Medical Policy Manager jobs in Santa Clara, CA

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)

M
AI Policy Manager
  • Meta
  • Menlo, CA FULL_TIME
  • Meta is hiring AI Policy Managers with expertise in privacy and AI policy issues to join our Privacy and Data Policy team and help us build products, services, and technologies that promote the best interests of our users. The team's mission is to develop privacy-protective and innovative approaches to data and our services that help bring the world closer together and improve people's lives. In this role, you'll help shape the company's approach to AI across our suite of products and services.More specifically, this role will be in the part of our team that is focused on developing policy around artificial intelligence/AI, working to advise Meta’s AI product and research teams on novel issues related to privacy and also broader questions of fairness, accountability and transparency related to AI and machine learning (ML).In this role, you'll work closely with product managers, engineers, policy managers, external stakeholders, and cross-functional partners across the company to build responsibility tools into our products and services. You'll serve as a subject matter expert for Meta’s global policy team on Meta’s products and work with our teams to evaluate and respond to legislative and regulatory developments, and to engage with external experts on privacy and fairness around the world. You’ll also lead executive briefs for leadership as engagement around AI continues to ramp up globally.A strong candidate will be familiar with AI, privacy, fairness, transparency, Generative AI, and how they relate to regulatory and legislative developments across the globe. You should be a self-starter, a team player, and a creative problem solver who is able to switch easily between detailed work and high-level strategic thinking. You should also have an understanding of and familiarity with the stakeholders and perspectives in the AI community and be able to use your knowledge to promote the responsible building of AI in Meta’s products and services, and drive improvements across the industry.


    AI Policy Manager Responsibilities:

    • Developing AI Strategy on specific issues from inception to completion
    • Capacity building for the greater policy team on AI policy issues, informed by deep technical expertise and experience
    • Preparing leaders for AI engagements, and engaging with policy makers and influencers in the space
    • Bridging AI policy & regulatory developments with product needs and business priorities
    • Synthesising knowledge and understanding (technical and policy) of responsible AI development processes: Risk & Impact Assessments (inc. NIST AI RMF), bias mitigations, safety and robustness, and transparency tools such System Cards to leadership, policy org and product teams.



    Minimum Qualifications:

    • Experience in translating regulation, in its draft or final form, into technical product requirements and vice versa
    • Using your extensive knowledge of global AI regulations and their impact and relevance for foundation models, GenAI, Recommender systems and biometrics to make actionable product recommendations
    • Demonstrable knowledge of the EU AIA, US, UK, and other key jurisdictions (Singapore, Brazil, Canada) and how these regulatory environments and broader policy debates impact Meta’s business.
    • Knowledge of key AI policy issues and the surrounding debate: accountability, existential risk, generative AI, transparency, privacy, bias, misuse and misinformation, and an experience to leverage this knowledge for cross policy talking points, and leadership capacity building.
    • Creating scalable solutions and frameworks for research, product and policy teams to use based on knowledge of AI policy environment



    Preferred Qualifications:

    • JD or Master’s degree or equivalent
    • Experience working on technology law or policy in more than one of these three categories: (1) civil society or academia, (2) company or firm, or (3) government
    • Working familiarity with key privacy and AI policy stakeholders and experts from civil society, academia, and government
    • Experience working directly with senior business executives and/or high-ranking government officials



    About Meta:

    Meta builds technologies that help people connect, find communities, and grow businesses. When Facebook launched in 2004, it changed the way people connect. Apps like Messenger, Instagram and WhatsApp further empowered billions around the world. Now, Meta is moving beyond 2D screens toward immersive experiences like augmented and virtual reality to help build the next evolution in social technology. People who choose to build their careers by building with us at Meta help shape a future that will take us beyond what digital connection makes possible today—beyond the constraints of screens, the limits of distance, and even the rules of physics.


    Meta is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Meta participates in the E-Verify program in certain locations, as required by law. Please note that Meta may leverage artificial intelligence and machine learning technologies in connection with applications for employment.

    Meta is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at accommodations-ext@fb.com.
  • 8 Days Ago

M
Privacy Policy Manager, Monetization
  • Meta
  • Menlo, CA FULL_TIME
  • Meta is hiring a Privacy Policy Manager with expertise in privacy and technology policy issues to join our Monetization Policy team and help us build products, services, and technologies that benefit ...
  • 25 Days Ago

T
Product Policy Manager
  • The Mom Project
  • Menlo, CA FULL_TIME
  • Our Customer’s mission is to give people the power to build community and bring the world closer together. Through their family of apps and services, they are building a different kind of company that...
  • 28 Days Ago

E
Sr. Policy Communications Manager
  • EarnIn
  • Palo Alto, CA FULL_TIME
  • ABOUT EARNIN As one of the first pioneers of earned wage access, our passion at EarnIn is building products that deliver real-time financial flexibility for those with the unique needs of living paych...
  • 1 Month Ago

L
Manager, State Public Policy
  • Lucid Motors
  • Newark, CA FULL_TIME
  • The Manager of State Public Policy within Lucid’s External Affairs division is a critical role that leads advocacy of the company’s policy positions in western and northwestern states. This individual...
  • 1 Month Ago

M
Security Policy Manager, Threat Disruptions
  • Meta
  • Menlo, CA FULL_TIME
  • As the importance and impact of the Meta family of companies continues to grow, so does the security risk to the company and the possibility that our platforms could be used to cause harm. The Meta Se...
  • 18 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Medical Policy Manager jobs found in Santa Clara, CA area

L
Psychiatric Nurse Practitioner - San Jose, CA
  • LifeStance Health
  • San Jose, CA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/25/2024 12:00:00 AM

H
Remote Certified Substance Abuse Counselor (CSAC) - Hawaii
  • Headway
  • San Jose, CA
  • Are you a Certified Substance Abuse Counselor (CSAC) in Hawaii looking to launch a private practice, or grow your existi...
  • 4/23/2024 12:00:00 AM

H
Remote Licensed Master Social Worker - Clinical (LMSW-C) - Michigan
  • Headway
  • San Jose, CA
  • Are you a Licensed Master Social Worker - Clinical (LMSW-C) in Michigan looking to launch a private practice, or grow yo...
  • 4/23/2024 12:00:00 AM

H
Remote Prescribing Psychologist (PSY/PSYP) - Idaho
  • Headway
  • San Jose, CA
  • Are you a Prescribing Psychologist (PSY/PSYP) in Idaho in South Dakota looking to launch a private practice, or grow you...
  • 4/23/2024 12:00:00 AM

A
Executive Director/ Sr. Director of Medical Affairs
  • Adicet Bio
  • Redwood City, CA
  • JOIN US! Adicet Bio, Inc. is a clinical stage biotechnology company discovering and developing allogeneic gamma delta T ...
  • 4/23/2024 12:00:00 AM

H
Remote Clinical Mental Health Counselor (CMHC) - Utah
  • Headway
  • San Jose, CA
  • Are you a Clinical Mental Health Counselor (CMHC) in Utah in South Dakota looking to launch a private practice, or grow ...
  • 4/23/2024 12:00:00 AM

H
Remote Licensed Clinical Addiction Specialist (LCAS) - North Caroline
  • Headway
  • San Jose, CA
  • Are you a Licensed Clinical Addiction Specialist (LCAS) in North Carolina looking to launch a private practice, or grow ...
  • 4/23/2024 12:00:00 AM

H
Remote License Professional Counselor of Mental Health (LPCMH) - Delaware
  • Headway
  • San Jose, CA
  • Are you a License Professional Counselor of Mental Health (LPCMH) in Delaware in South Dakota looking to launch a privat...
  • 4/23/2024 12:00:00 AM

Santa Clara is drained by three seasonal creeks, all of which empty into the southern portion of San Francisco Bay; these creeks are San Tomas Aquino Creek, Saratoga Creek, and Calabazas Creek. There are some significant biological resources within the city including habitat for the burrowing owl, a species of special concern in California due to reduction in habitat from urban development during the latter 20th century. This owl uses burrows created by ground squirrels and prefers generally level grasslands and even disturbed areas. According to the United States Census Bureau, the city cover...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$164,211 to $200,468
Santa Clara, California area prices
were up 2.9% 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