Medical Policy Manager jobs in Santa Maria, 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)

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Manager Nursing
  • Marian Regional Medical Center
  • SANTA MARIA, CA FULL_TIME
  • Overview

    Marian Regional Medical Center a 191-bed facility located in Santa Maria California is recognized as one of the Top 250 Hospitals in the Nation by Healthgrades and was awarded Best Maternity Care by Newsweek. It ranks among 10% in the nation for safety core measures in cardiac services and has the only comprehensive cancer treatment and resource program from Los Angeles to San Francisco. Marian’s beautiful mission-style facility houses the latest technology to support excellent physicians and caregivers who deliver compassionate care each and every day. Marian Regional Medical Center is a part of Dignity Health’s Southwest Division and is a member of CommonSpirit Health the largest not-for-profit health care system in the nation boasting an integrated network of top quality hospitals with physicians from the most prestigious medical schools and comprehensive outpatient services - all recognized for quality safety and service. Marians offers Santa Maria Valley residents access to the most advanced technologies an expanded and enhanced Emergency Department Critical Care Unit neonatal intensive care unit and an array of womens services.


    Responsibilities

    Provides leadership, direction and clinical and operational supervision of patient care for Pre & Post Surgery.  Demonstrates responsibility for quality and care management improvement initiatives and implementation and maintenance of standards. Acts as the leader and role model for professional practice conducted in the areas under their supervision and demonstrates responsibility for standards development and staff education.


    Qualifications

    Minimum Qualifications:

    • Minimum of three (3) years of experience in related field. Minimum of two (2) years of supervisory experience.
    • Bachelor's degree or a combination of education and/or additional job related experience in lieu of the degree.
    • Current R.N. License required;
    • ACLS and BLS required.
    • Ability to comprehend and follow instructions; maintain attention and concentration for necessary periods; synthesize, coordinate, and analyze data, perform simple and repetitive tasks; maintain a work pace appropriate to given work load; perform complex and varied tasks; relate to other people beyond giving and receiving instructions; get along with co-workers and peers; understand the meaning of words and how to use them appropriately and effectively; understand and remember detailed instructions; make independent decisions or exercise judgment based on appropriate information; accept and carry out responsibility for direction, control and planning.

    Please be advised that this location requires quarterly American Heart Association (AHA) Resuscitation Quality Improvement (RQI) competency certification post-hire. This ongoing competency is required through resources internal to the facility; outside RQI competency resources are not acceptable for CommonSpirit Health compliance requirements.

  • 1 Month Ago

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Medical Office Manager
  • Central Coast Otolarngology
  • Santa Maria, CA PART_TIME,FULL_TIME
  • Who We Are: Central Coast Otolaryngology Central Coast Otolaryngology provides high quality Medical and Surgical care for ENT and Sleep disorders. We currently have two physicians, one physicians assi...
  • 20 Days Ago

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Assistant Nurse Manager
  • French Hospital Medical Center
  • SAN LUIS OBISPO, CA FULL_TIME
  • OverviewFrench Hospital Medical Center located in San Luis Obispo California has been named one of the Nation’s 100 Top Hospitals by Truven Health Analytics and is rated among the top hospitals in the...
  • 5 Days Ago

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Nurse Manager Care Coordination
  • French Hospital Medical Center
  • SAN LUIS OBISPO, CA FULL_TIME
  • OverviewFrench Hospital Medical Center located in San Luis Obispo California has been named one of the Nation’s 100 Top Hospitals by Truven Health Analytics and is rated among the top hospitals in the...
  • 13 Days Ago

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Nurse Manager Care Coordination
  • French Hospital Medical Center
  • SAN LUIS OBISPO, CA FULL_TIME
  • OverviewFrench Hospital Medical Center located in San Luis Obispo California has been named one of the Nation’s 100 Top Hospitals by Truven Health Analytics and is rated among the top hospitals in the...
  • 13 Days Ago

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Assistant Nurse Manager
  • Marian Regional Medical Center
  • SANTA MARIA, CA FULL_TIME
  • OverviewMarian Regional Medical Center a 191-bed facility located in Santa Maria California is recognized as one of the Top 250 Hospitals in the Nation by Healthgrades and was awarded Best Maternity C...
  • 1 Month Ago

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

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Remote Licensed Psychiatric Nurse Practioner
  • Headway
  • Santa Maria, CA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $144-$222 an hour Are you a licensed Psychiatric Nurse look...
  • 4/24/2024 12:00:00 AM

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Fleet (Route) Maintenence Supervisor
  • Penske
  • Santa Maria, CA
  • Responsibilities As a Penske Maintenance Supervisor you will use your excellent communication, organization, and multita...
  • 4/24/2024 12:00:00 AM

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Human Resources Generalist
  • Central California Recruiting Battalion
  • Santa Maria, CA
  • Enlistment is required for this position. To become an enlisted Soldier in the U.S. Army, you must be: A U.S. citizen or...
  • 4/24/2024 12:00:00 AM

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Trilingual District Translator #4291, #5583
  • Santa Maria-Bonita School District
  • Santa Maria, CA
  • About the Employer Welcome to the Santa Maria-Bonita School District website. As the largest school district in Santa Ba...
  • 4/23/2024 12:00:00 AM

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Front Desk Medical Assistant
  • Aledade, Inc.
  • Santa Maria, CA
  • **Front Desk Medical Assistant** Santa Maria, CA / ~ Partner Practices ~ Partner Practices / Partner Practice Join a bus...
  • 4/23/2024 12:00:00 AM

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Agronomic Service Representative - Coastal California
  • Syngenta Canada
  • Santa Maria, CA
  • Job Description Agronomic Service Representative - Coastal California - ( 18037643 ) **Description** **About Syngenta** ...
  • 4/23/2024 12:00:00 AM

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Instructional Assistant III - Severely Handicapped (Battles #4416)
  • Santa Maria-Bonita School District
  • Santa Maria, CA
  • About the Employer Welcome to the Santa Maria-Bonita School District website. As the largest school district in Santa Ba...
  • 4/22/2024 12:00:00 AM

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Instructional Assistant III - Severely Handicapped (Battles #4416) External
  • Santa Maria-Bonita School District
  • Santa Maria, CA
  • About the Employer Welcome to the Santa Maria-Bonita School District website. As the largest school district in Santa Ba...
  • 4/22/2024 12:00:00 AM

Santa Maria is a city near the Southern California coast in Santa Barbara County. It is approximately 65 miles (105 km) northwest of Santa Barbara and 150 miles (240 km) northwest of downtown Los Angeles. Its estimated 2018 population was 108,470, making it the most populous city in the county and the Santa Maria-Santa Barbara, CA Metro Area. The city is notable for its wine industry and Santa Maria-style barbecue. Sunset magazine called Santa Maria "The West's Best BBQ Town". Santa Maria is located at 34°57′5″N 120°26′0″W / 34.95139°N 120.43333°W / 34.95139; -120.43333 (34.951377, -120.433...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$142,621 to $174,112
Santa Maria, California area prices
were up 2.5% from a year ago

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