Medical Policy Specialist jobs in Boise, ID

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)

S
DMV Program Specialist - Policy and Stakeholder Engagement team
  • State of Idaho
  • Boise, ID FULL_TIME
  • Description



    NOTICE: Applications will be accepted through 4:59 PM MST on the posting end date. If you are a current or temporary State of Idaho employee you MUST apply through your internal Luma account.


    ITD currently has an opening for a Program Specialist in the Division of Motor Vehicles. This position will be an integral part of the DMV Policy and Stakeholder Engagement team based out of the ITD Headquarters office in Boise, Idaho. This position will specialize in supporting DMV and our partners. We are seeking applicants who have a strong background in the analysis of statutes and rules, critical thinking skills, excellent written and verbal communication skills, a creative approach to problem-solving, and a passion for continuous learning and innovation.

    If you've got a passion for navigating the twists and turns of vehicle regulations and love diving into the nitty-gritty details, this might just be the perfect fit for you!

    Statewide travel may be required in this position to support Port of Entry functions and County offices.


    Notice: This position will require a criminal background check.


    EXAMPLE OF DUTIES:

    • Conduct research and analysis on relevant policies, regulations, and legislative developments.
    • Present information to legislators and other stakeholder groups, regarding legislation related to the department. This may be done in person, by phone, on Teams, or through email.
    • Develop policy ideas and recommendations to address organizational needs and objectives.
    • Collaborate with cross-functional teams to assess the impact of proposed policies and regulatory changes to ensure our policies are road-ready.
    • Keeping your foot on the gas pedal when it comes to staying up-to-date on industry trends and policy changes.
    • Prepare reports, presentations, and other materials to communicate policy insights and recommendations.


    Minimum Qualifications:

    • Some knowledge of management practices: Minimum requirements gained by completion of one three credit or equivalent upper division college-level course or approximately 60 hours or equivalent of management training that included all the essential elements of management (Planning, Organizing, Leading, and Controlling); OR completion of the State or equivalent; OR six months of experience performing all management elements.
    • Some knowledge of program or project planning and implementation: Minimum requirements gained through work experience involved in program or project planning and implementation as a team member or individual contributor.
    • Experience developing and evaluating policies and procedures: Minimum requirements gained through six months experience writing or assisting in the review/auditing and developing of policies, procedures, field memorandums, directives or post orders.

    Benefits:

    The State of Idaho offers a robust total compensation package, including medical, vision, and dental insurance; PERSI retirement benefits; paid sick, vacation, and parental leave; and 11 paid holidays per year. For additional information related to benefits and/or State programs, please visit https://dhr.idaho.gov/StateEmployees/Benefits.html.*

    EEO/ADA/Veteran:

    The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.

    The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email ada.coordinator@dhr.idaho.gov.

    Preference may be given to veterans who qualify under state and federal laws and regulations.

  • 1 Month Ago

W
Virtual Medical Collections Specialist
  • West Valley Medical Center
  • Caldwell, ID FULL_TIME
  • Hourly Wage Estimate: $15.00 - $22.50 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used ...
  • 23 Days Ago

A
Cosmetic Merchandiser (2023-31313)
  • Apollo Retail Specialist
  • Boise, ID PART_TIME
  • As a cosmetic merchandiser, you’ll take on project-based work to ensure cosmetic products, graphics, and displays are visually appealing to attract and engage shoppers, build strong relationships with...
  • 4 Days Ago

W
Accounting Specialist
  • West Valley Medical Center
  • Caldwell, ID FULL_TIME
  • Hourly Wage Estimate: $15.86 - $22.21 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used ...
  • 17 Days Ago

H
Medical Office Phone Specialist
  • Hollingshead Barrett Eye Center
  • Boise, ID FULL_TIME
  • Job Description Hollingshead Barret Eye Center is seeking a motivated Office Phone Specialist to join our team in Boise, ID. The ideal candidate will have experience in a medical office setting, be se...
  • Just Posted

W
Medical Office Specialist
  • West Valley IM Clinic
  • Caldwell, ID FULL_TIME
  • Hourly Wage Estimate: $15.35 - $22.26 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used ...
  • 3 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Boise, ID area

Boise (/ˈbɔɪsi/ (listen)) is the capital and most populous city of the U.S. state of Idaho, and is the county seat of Ada County. Located on the Boise River in southwestern Idaho, the population of Boise at the 2010 Census was 205,671, the 99th largest in the United States. Its estimated population in 2016 was 223,154. Boise is in southwestern Idaho, about 41 miles (66 km) east of the Oregon border, and 110 miles (177 km) north of the Nevada border. The downtown area's elevation is 2,704 feet (824 m) above sea level. Most of the metropolitan area lies on a broad, flat plain, descending to the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$83,183 to $101,539
Boise, Idaho area prices
were up 2.5% from a year ago

Medical Policy Specialist in Norfolk, VA
Guideline 9 – specialist medical procedures provides that applications for the separate representation of children with an intellectual impairment in relation to applications for special medical procedures are not subject to the means test or merits test.
February 20, 2020