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)
About us
The Montana Grain Growers Association is a commodity specific organization representing the interests of Montana wheat and barley growers. We use the contacts and experience gained over the past 60 years to affect the laws, regulations and rules that we farm by.
Summary:
To run point on all legislative and regulatory issues within the boundaries of the Montana Grain Growers Association policy resolutions, budget, and guidance from the Board of Directors and Executive Vice President.
Reportability:
The policy director reports to the Executive Vice President of the Montana Grain Growers Association.
Responsibilities:
Collaborate with the Executive Vice President, Lobbyist and Executive Officers for state and federal policy issues.
Manage the Montana Grain Growers Association’s policy resolutions.
Facilitate policy development with leadership and members.
Serve as the point of contact for policy issues with National Association of Wheat Growers and National Barley Growers Association.
Maintain strong working relationships with elected officials, policy staff, and other stakeholders.
Prepare policy updates for leadership and members in written and verbal communication on a regular basis.
Collaborate with other stakeholder groups and coalitions.
Qualifications:
Ability to inspire confidence, create trust, and reflect the values of the Montana Grain Growers Association.
Working knowledge of agriculture and farming.
Clear and consistent verbal and written communications skills.
Ability to be flexible, an independent worker, and a team player.
Ability to work under pressure and plan workload effectively.
Ability to travel and maintain a flexible schedule.
Bachelor’s degree in public policy or equivalent work experience.
Job Type: Part-time
Pay: $40,000.00 - $50,000.00 per year
Expected hours: 30 per week
Benefits:
Schedule:
Travel requirement:
Work setting:
Ability to Relocate:
Work Location: Hybrid remote in Great Falls, MT 59401
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