Medical Policy Manager jobs in Somerset, NJ

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)

O
Patient Care Advocate
  • Oakland Manager LLC
  • Somerset, NJ FULL_TIME
  • Summary

    The Patient Care Associate (PCA) is responsible for delivering an exceptional customer experience. This role ensures all sales are compliant with state regulations and that customer needs are heard and

    met throughout the sales process. This position is also responsible for ensuring transactions are accurately recorded in point-of-sale (POS) and inventory tracking systems. Most importantly, this

    role embodies the company’s culture and brand image.

     

    Essential Functions and Responsibilities

    Sales Responsibilities

    • Ensures the consistent delivery of an exceptional customer experience

    • Assists customers in product selection based on defined treatment plans and product availability

    • Achieves daily/weekly sales objectives by fulfilling customer requests and looking for opportunities introduce new and alternative products

    • Continually develops communication and service skills to increase sales and generate positive reviews

    • Educates customers on product attributes and usage

    • Ensures customers are accurately logged into the patient tracking system

    • Performs sales transactions in compliance with all regulations governing the sale of cannabis products

    • Completes accurate sales documentation

    • Ensures transactions are entered in point-of-sale and inventory management systems in compliance with state regulations

    • Assists in maintaining a safe, clean, and organized dispensary environment

    • Complies with all Justice Cannabis Co. policies, procedures and practices governing sales and service

    • Complies with all safety and security protocols for dispensary staff

    • Performs administrative tasks (customer profile completion, sales tracking, etc.) as required

    • Answers phones, responds to voicemail, and takes phone orders

    • Establishes on-going relationships with dispensary customers

    • Completes customer profiles to assist in future sales and service opportunities

    • Maintains knowledge of new and existing products via vendor training, documentation, and crosstraining with management, pharmacists, and senior sales consultants

     

    Qualifications

    • Two or more years of experience working in a retail or hospitality environment with cash handling responsibility

    • Demonstrated passion for delivering an exceptional customer experience

    • Fast-paced, high volume retail sales experience preferred

    • Must pass all required background checks, certifications, and DOH affiliation requirements

    • Professional written and verbal communication and interpersonal skills

    • Must have strong organizational skills, high attention to detail and the ability to multi-task

     

    Cultural Responsibilities

    • Actively models Justice Cannabis Co. ’s values and code of conduct

    • Builds strong and effective internal, external, and cross-functional relationships.

    • Is committed to creating and maintaining a collaborative, fun, and productive work environment

    • Actively participates in team building and cultural development activities

    • Models honesty, integrity, and direct communication in daily tasks and interactions

     

    Computers and Technology

    • Must be computer literate with the ability to learn operational systems (Alpine IQ, Leaflogix, MJ Freeway, Veriscan, Microsoft office, and Metrc, etc.)

    • Experience working with Outlook email and Microsoft Office suite

     

    Supervisory Responsibilities

    This position does not have supervisory responsibilities.

     

    Work Environment and Physical Demands

    The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be capable of lifting 25 pounds to stock product boxes. Position requires frequent reaching into cabinets and displays to show and review product. Ability to maintain a stationary sitting or standing position for up to eight hours in a day based on business needs and sales volume; and, ability to bend and retrieve products from lower shelves. This role also enters information into sales and tracking systems requiring hand dexterity and the ability visually verify correct product information.

  • 1 Month Ago

O
Security I
  • Oakland Manager LLC
  • Somerset, NJ FULL_TIME
  • Security Guards wanted to work for a professional industry leading company. Applicants may be assigned to a single or multiple site assignment. Applicants will need to be flexible with their schedule ...
  • 1 Month Ago

Z
Medical Case Manager
  • Zufall Talent Team
  • Somerville, NJ FULL_TIME
  • Position Summary The goal of the Medical Case Manager (MCM) Nurse is to provide a wide range of client-centered services that ensure the provision of patient-centered, cost effective, high quality car...
  • Just Posted

I
Medical SEO Manager
  • ImageCare Radiology
  • Hackettstown, NJ FULL_TIME
  • Who We Are ImageCare is a medical imaging healthcare company with over 20 outpatient imaging facilities throughout New Jersey. We are seeking a highly skilled and experienced medical SEO manager to jo...
  • 1 Month Ago

Z
Medical Case Manager
  • Zufall Health
  • Somerville, NJ FULL_TIME
  • Welcome to Zufall Health! Position Summary The goal of the Medical Case Manager (MCM) Nurse is to provide a wide range of client-centered services that ensure the provision of patient-centered, cost e...
  • 1 Month Ago

R
Medical Information Manager
  • Recordati Rare Diseases, Inc
  • Bridgewater, NJ FULL_TIME
  • DescriptionRecordati Rare Diseases, Inc. (RRD) develops high-impact therapies for devastating rare diseases. At RRD, we focus on the few those affected by rare diseases. They are our top priority and ...
  • 1 Month Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Manager jobs found in Somerset, NJ area

T
Patient Call Center Agent
  • Tru Medical Management
  • New York, NY
  • Job Description Job Description Patient Call Center Agent Job Responsibilities and Duties: · Answer all incoming calls, ...
  • 4/23/2024 12:00:00 AM

T
Medical Assistant
  • Tru Medical Management
  • New York, NY
  • Job Description Job Description We are looking for a skilled and organized medical assistant to join our healthcare team...
  • 4/22/2024 12:00:00 AM

P
Veterinarian - Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Montclair, NJ
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/21/2024 12:00:00 AM

H
Regional Medical Lead
  • HeartFlow, Inc
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

H
Regional Medical Lead
  • HeartFlow
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

P
US Pneumococcal Adult Medical Lead, MD
  • Pfizer
  • New York, NY
  • ROLE SUMMARY Provide pneumococcal franchise leadership on behalf of Asset Medical Affairs team. * Collaborates with Bran...
  • 4/21/2024 12:00:00 AM

L
Psychiatrist (Child and Adolescent) - North Brunswick, NJ
  • LifeStance Health
  • North Brunswick, NJ
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/20/2024 12:00:00 AM

L
Child & Adolescent Nurse Practitioner (psychiatry) - PMHNP - North Brunswick, NJ
  • LifeStance Health
  • North Brunswick, NJ
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/20/2024 12:00:00 AM

Somerset is an unincorporated community and census-designated place (CDP) located within Franklin Township, in Somerset County, New Jersey, United States. As of the 2010 United States Census, the CDP's population was 22,083. Somerset housed one of the first Marconi Wireless Stations in the United States. According to the United States Census Bureau, the CDP had a total area of 6.444 square miles (16.692 km2), including 6.327 square miles (16.388 km2) of land and 0.117 square miles (0.304 km2) of water (1.82%)....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$147,070 to $179,543
Somerset, New Jersey area prices
were up 1.5% 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