Medical Policy Manager jobs in Tulsa, OK

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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POLICY ANALYST
  • The Muscogee Nation
  • Okmulgee, OK FULL_TIME
  • MUSCOGEE (CREEK) NATION Seeking a POLICY ANALYST Description: Under the direction of the Human Resources Director, the Policy Analyst is responsible to review, analyze, update and write human resources policies and procedures. Principal Duties and Responsibilities: Review Human Resources Policy and Procedures manual on an as-needed basis (annually at a minimum); update as appropriate. Research and write policies; conduct extensive research that informs the development of human resources policies. Establish, implement, and maintain effective methods and processes relating to the communication of MCN policy issues; provide guidance and assistance to employees, as appropriate, in the understanding and interpretation of MCN policies; communicate policies and procedures to all staff through a range of communication channels, including briefs, reports, and presentations. Collaborate and seek input from policy stakeholders to obtain feedback on how policies affect others; ensure benefits, concerns, or consequences of policies are taken into account prior to implementation. Collaborate with Labor Relations Specialist on creating new policies/procedures. Collaborate with Training Specialist on communicating pertinent policies and procedures to new hires during orientation (on-boarding). Provide on-going customer service and response to inquiries regarding MCN Policies and Procedures. Identify emerging trends; monitor and analyze policy trends that may impact MCN; communicate information to Human Resources Director. Maintain knowledge of legal regulations and requirements related to human resources; ensures policies, procedures, and reporting are in Analyze and interpret data to create reports on a weekly/quarterly/as needed basis in areas of responsibility; provide reports that are evidence-based, well-structured, and effective at communicating policy rationale. Reports include research findings, policy recommendations, and outlining strategies. Maintain records and ensure human resources shared drive is maintained updated. Performs other duties as assigned. Minimum Requirements: Education: Bachelor's degree in Human Resources, Business Administration or related field; experience and/or other training/certification may be substituted for education. Experience: Three years related human resources administration experience to include at least one year in policy creation and analysis. Special skills: Knowledge of principles and methods for policy analysis, creation, implementation, and assessment. Excellent interpersonal and observation skills; ability to collaborate with multidisciplinary teams and departments to contribute to policy development and implementation. Excellent verbal and written communication skills. Excellent presentation skills in a one-on-one or group environment. Excellent time management skills with a proven ability to meet Ability to act with integrity, professionalism, and confidentiality. Strong analytical and problem-solving skills. Proficient with Microsoft Office Suite or related software. Preferred Requirements: Education: Master's degree in Business Administration or related field. Experience: Five years human resources administration experience. Special skills: Experience working in a diverse multi-cultural organization. Knowledge of the Muscogee (Creek) Nation. Certifications and licenses: SHRM-CP, SHRM-SCP, or THRP. Preference: Muscogee and Indian reference. Visit our website for more information@ www.muscogeenation.com Muscogee (Creek) and Indian Preferencerecblid edh7xh5hafkl79x0rt15vw1rbgh9rl


    About the Company:
    The Muscogee Nation



  • 1 Day Ago

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Patient Access Manager - Bailey Medical Center - R019857
  • Bailey Medical Center
  • Owasso, OK FULL_TIME
  • **This is an onsite role. Candidate must be able to work onsite at Bailey Medical Center in Owasso, OK*** Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management ...
  • 1 Day Ago

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Public Health Analyst (Policy)
  • Centers for Disease Control and Prevention
  • Tulsa, OK FULL_TIME
  • As a global leader in public health & health promotion, CDC is the agency Americans trust with their lives. In addition to our everyday work, each CDC employee has a role in supporting public health e...
  • 8 Days Ago

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Site Manager
  • Fairfax Medical Facilities Inc
  • Fairfax, OK FULL_TIME
  • NATURE OF POSITION The Site Manager is responsible for supervision and day-to-day operations of the clinic and ensuring the clinic is in compliance with all regulatory, licensing, and Fairfax Medical ...
  • 1 Month Ago

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Case Manager / RN
  • Hillcrest Medical Center
  • TULSA, OK FULL_TIME
  • Overview Join our team as a evening shift, full-time, Case Management, Registered Nurse in Tulsa, OK. Fulfilling your purpose begins here: People First, Always. Here’s how we take care of our people: ...
  • 17 Days Ago

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Business Office Manager
  • Ignite Medical Resort Bartlesville
  • Bartlesville, OK FULL_TIME
  • DescriptionWe are on Fire Bartlesville! Ignite Medical Resort Adams Parc is Hiring!If you want to work with a company who values and appreciates its employees, join Ignite Medical Resorts and help us ...
  • 4 Days Ago

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0 Medical Policy Manager jobs found in Tulsa, OK area

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Remote Licensed Clinical Social Worker
  • Headway
  • Tulsa, OK
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker l...
  • 4/26/2024 12:00:00 AM

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Accounting/Finance - Director Actuarial & Analytics
  • CommunityCare
  • Tulsa, OK
  • JOB SUMMARY: Directs the Data Analytics and Reporting, Actuarial, and Underwriting activities of the Company, including ...
  • 4/26/2024 12:00:00 AM

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Pharmacy Medical Records Technician_ CG 14
  • Guardian Pharmacy, LLC
  • Tulsa, OK
  • Tulsa, Oklahoma, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation's largest, m...
  • 4/26/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Tulsa, OK
  • Remote Licensed Psychiatrist Wage: Between $148-$239 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/26/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Tulsa, OK
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $95-$122 an hour Are you a Licensed Marriage and Fami...
  • 4/26/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Tulsa, OK
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $95-$122 an hour Are you a Licensed Mental Health Counselor...
  • 4/26/2024 12:00:00 AM

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Clinical Operations Analyst
  • Ardent Health Services
  • Tulsa, OK
  • Overview Join our team as a day / variable shift, full-time, Clinical Operations Analyst in Tulsa, OK. Fulfilling your p...
  • 4/23/2024 12:00:00 AM

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Child/General Psychiatrist (Outpatient)
  • LifeStance Health
  • Tulsa, OK
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/22/2024 12:00:00 AM

Tulsa is located in the northeastern corner of Oklahoma, 99 miles (159 km) northeast of Oklahoma City; situated between the edge of the Great Plains and the foot of the Ozarks in a generally forested region of rolling hills. The city touches the eastern extent of the Cross Timbers, an ecoregion of forest and prairie transitioning from the drier plains of the west to the wetter forests of the east. With a wetter climate than points westward, Tulsa serves as a gateway to "Green Country", a popular and official designation for northeast Oklahoma that stems from the region's green vegetation and r...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$123,780 to $151,110
Tulsa, Oklahoma area prices
were up 1.2% from a year ago

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The Medical Policy Portal offers streamlined navigation to the various types of policies available.
February 14, 2020
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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.
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Get the latest updates to Blue Cross NC's medical policies.
January 14, 2020