Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Company Overview:
Cayuga Health is the region's leading healthcare system, and most trusted driver of integrated health services, together with valued partners. We empower our people and employ our capabilities to equitably improve the well-being of the communities we serve. At Cayuga Health System, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to its employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Nestled in the beautiful Finger Lakes region, Cayuga Health provides an outstanding place to work in a vibrant community. Come discover all that Ithaca, New York and Cayuga Health has to offer!
Position overview: The Grants Specialist supports a specific portfolio of grants and contracts, seeing each grant through both pre-award and post-award activities to close out. These grants and contracts aim to advance population health goals and improve the quality of care provided by Cayuga Health System to achieve these goals. This position is an integral member of interprofessional grant-writing teams at Cayuga Health and serves as a liaison between Cayuga Health's Grants Team and partnering writers, project staff, the finance team, and funders. Therefore, this role requires commitment to both cross-functional collaboration within the organization and cross-sector collaboration with a range of community and academic partners. The ideal candidate will have strong critical thinking skills, attention to detail, project management and communication skills, financial and budgeting experience, and knowledge of grant and reporting practices.
What you'll do:
Job Responsibilities include:
General:
Pre-Award:
Post-Award:
Minimum Qualifications:
At this time Cayuga Health System will not sponsor a new applicant for employment authorization for this position.
If you are interested in applying for this position and you require an accommodation, please contact Cayuga Health System at hr@cayugamed.org
Cayuga Health System Commitment to Diversity, Equity & Inclusion
Cayuga Health System commits to treating all people with dignity so that everyone who comes to us is safe, cared for, and respected. We will support the growth of our employees and the health of our community by embracing the rich diversity of social and cultural identities, needs, and life circumstances of all people. We strive to recognize and overcome personal biases and systemic policies that marginalize others and contribute to disparities in healthcare access, equitable care, and good health outcomes.
Cayuga Health is dedicated to our vision for diversity, equity, and inclusion. As we strive towards our vision, we welcome the opportunity to work alongside a diverse range of employees.
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0 Medical Policy Specialist jobs found in Binghamton, NY area