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)
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:
Minimum Qualifications:
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.
0 Medical Policy Specialist jobs found in Boise, ID area