Medical Policy Manager jobs in Spokane, WA

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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Quality Program Manager -Policy
  • Deaconess Hospital
  • Spokane, WA FULL_TIME
  • You Belong Here.

    At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.


    FTE:
    1.0 Shift: Day Schedule: Day / Hybrid position of In person and Remote

    Position Summary

    The Quality Program Manager is an ideal opportunity to develop and implement the Quality and Performance Improvement Program for assigned MultiCare locations. As you develop and implement annual and multi-year plans, you will assure quality and patient safety while setting new standards for the settings of care. This dynamic position will allow you to operate as a role model through principles, practices and methods.

    Responsibilities

    • You will direct activities assuring initiatives and projects are completed and perform ongoing performance analysis
    • You will develop components of the QAPI and other regulatory requirements
    • You will develop data and information into quality analyses
    • You will partner and seek additional expertise
    • You will develop routine reporting

    Requirements

    • Bachelor’s degree; Master’s degree in health care field preferred
    • Three to Five (3-5) years of experience in a professional or technical role/function in a healthcare or related setting as applicable to specialty
    • Minimum three (3) years of experience in a quality, regulatory readiness, performance improvement or patient safety role
    • Competent in data use, analysis, reporting and PI Tools (PDSA, etc.)
    • Quality or patient safety certification, such as CPHQ or CPPS, preferred
    • Competent use of computerized information systems (email, MS Office including Excel, Epic, healthcare data and benchmarking systems, etc.) required

    Our Values

    As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.

    Why MultiCare?

    • Belonging: We work to create a true sense of belonging for all our caregivers
    • Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve
    • Market leadership: Washington state's largest community-based, locally governed health system
    • Employee-centric: Named Forbes “America’s Best Employers by State” in 2023
    • Technology: "Most Wired" health care system 15 years in a row
    • Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities
    • Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn

    Pay and Benefit Expectations

    We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $94,985.00 - $137,948.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

    Associated benefit information can be viewed here.

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General Manager Cannabis Retail Shop
  • General Manager Cannabis Retail
  • Pullman, WA FULL_TIME
  • General Store Manager Description Are you an outgoing, driven individual interested in providing the best customer service the industry has to offer? Join the fastest growing retailer group in the sta...
  • 20 Days Ago

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Medical Account Manager
  • Pacific Medical, Inc.
  • Lewiston, ID FULL_TIME
  • Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. ...
  • 2 Days Ago

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • SPOKANE, WA FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 12 Days Ago

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Travel Nurse RN - Case Manager in Spokane, WA
  • OneStaff Medical
  • SPOKANE, WA FULL_TIME
  • Case Management Nurses coordinate long-term care for their patients. Their goal is to treat their patients at optimal times to keep them healthy and out of the hospital. As a Case Management Nurse, yo...
  • 15 Days Ago

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Manager Medical Staff Services
  • Providence
  • Spokane, WA OTHER
  • DescriptionManager Medical Staff Services - Medical Staff Administration Department at Providence Sacred Heart Medical Center & Children's Hospital in Spokane, WAUnder the general direction of the Chi...
  • 21 Days Ago

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0 Medical Policy Manager jobs found in Spokane, WA area

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Remote Licensed Clinical Social Worker
  • Headway
  • Spokane, WA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Spokane, WA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Spokane, WA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Spokane, WA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Spokane, WA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Spokane, WA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Spokane, WA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Spokane, WA
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

Spokane (/ˌspoʊˈkæn/ (listen) spoh-KAN) is a city in Spokane County in the state of Washington in the northwestern United States. It is located on the Spokane River west of the Rocky Mountain foothills in eastern Washington, 92 miles (148 km) south of the Canada–US border, 18 miles (30 km) from the Washington–Idaho border, and 228 miles (367 km) east of Seattle along Interstate 90. Known as the birthplace of Father's Day, Spokane's official nickname is the "Lilac City". A pink, double flower lilac variety known as 'Syringa Spokane' is named for the city. It is the seat of Spokane County and th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$133,462 to $162,930
Spokane, Washington area prices
were up 2.9% from a year ago

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