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)
Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors.
Our extensive network includes multispecialty physician services, telemedicine, and RPM, covering skilled nursing facilities across the country.In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care.
Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare.
Shift StructureRounding time is 7AM-1PM local time, during which the provider must be available to nursing staff and address acute/emergent issues that arise.
Shifts begin around 7AM local time with flexibility within reason.Clear All
0 Medical Policy Manager jobs found in Topeka, KS area