Medical Policy Specialist jobs in Nashua, NH
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)
Recently Added Medical Policy Specialist jobs
IT Specialist
- Sequel Medical Technology
-
Manchester, NH
FULL_TIME
-
About Sequel
Sequel Med Tech is an early-stage company developing the next generation of precision drug delivery devices.
Job Overview
Reporting to the Sr. Director, IT and Infrastructure, the Senior IT Specialist will help spearhead the establishment of Sequel’s IT support function. You will also partner with external vendors to establish a helpdesk ticketing system, launch an outsourced helpdesk function, and deliver security training to employees. If you are a skilled, experienced and well-rounded helpdesk specialist looking for an opportunity to expand your skills and grow into more project leadership roles, this is the job for you!
Job Responsibilities and Essential Duties- Onboarding Support:
- Provide comprehensive onboarding support for local and field-based employees.
- Ensure a seamless integration into Sequel Med Tech's IT ecosystem.
- Helpdesk Support:
- Offer ongoing helpdesk support, including troubleshooting and issue resolution.
- Address MS Office support, 365 configuration, and backup and recovery needs.
- Vendor Management:
- Collaborate with the Sr. Director, IT & Infrastructure to set up contracts with a helpdesk vendor and other service providers.
- Ensure vendor adherence to service level agreements (SLAs).
- Security Administration:
- Administer KnowB4 security training to employees.
- Set up multifactor authentication and encryption measures.
- Integrate Azure AD SSO to third party applications.
- Project Leadership:
- Take the lead on IT projects, contributing to the enhancement and development of IT processes.
- Assist in drafting and implementing IT policies.
- Collaboration and Partnership:
- Partner with business leaders to understand and address specific business needs.
- Collaborate with the Sr. Director, IT & Infrastructure to meet organizational objectives.
- Salesforce CRM Backup:
- Provide backup administration support for Salesforce CRM.
- Security and Compliance Enhancement:
- Collaborate with vendors to improve overall security and compliance measures.
- Ensure that all IT systems are compliant with Sequel Med Tech’s corporate directives, FDA regulations, Sarbanes Oxley regulations and ISO standards.
- Inventory Management
- Maintains IT asset lists and ensures that inventory levels are optimized.
- Bachelor’s degree in computer science preferred but not required.
- 4 years of IT helpdesk support in a fast-paced corporate environment. Experience in IT helpdesk in a consulting environment or supporting multiple clients is a plus.
- Ability to work onsite in the Manchester, NH office at least 2 days per week, especially on Mondays to provide onboarding support to new hires.
- Excellent knowledge of technology trends, software licensing models, current and emerging compliance requirements impacting IT hardware, software, and services acquisitions and contract terms
- Broad technical infrastructure experience at scale covering compute, storage, networking, end user support and security disciplines and applications.
- Proven experience bringing IT projects from scope to launch.
- Design and implementation skills with the following products is a plus:
- Azure Active Directory
- Office 365 & Azure Admin Technology Suites
- Microsoft Office suite of applications
- MS Intune/Autopilot deployments
- Jamf MDM
- Azure AD SSO for third party applications
- Knowledge of hardware & software installation and configuration, LAN, network access, internet, email, and printer support.
- Excellent interpersonal and communication skills
- Excellent problem solving and customer service skills.
- Ability to work well under pressure and independently.
- Ability to balance multiple priorities simultaneously.
- Ability to lead and contribute to IT projects.
- Experience administering the following software applications a plus.
- NetSuite
- SharePoint
- Salesforce
- TalkDesk CTI
- KnowBe4
Sequel Med Tech provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
- Onboarding Support:
- 22 Days Ago
Medical Assistant
- PMC Medical Group
-
Merrimack, NH
FULL_TIME
- Job Description Granite State Pain Associates in Merrimack, NH is currently seeking an experienced Medical Assistant. This position is a full time, 1st shift position with holidays and weekends off. P...
- 23 Days Ago
Medical Device Sales - Nashua, NH
- Zynex Medical
-
Nashua, NH
OTHER
- Job Details Level: Entry Job Location: Nashua, NH - Nashua, NH Position Type: Full Time Education Level: 2 Year Degree Salary Range: $55,000.00 Base Commission/year Job Shift: Day Job Category: Sales ...
- 7 Days Ago
Medical Device Sales - Nashua, NH
- Zynex Medical
-
Nashua, NH
OTHER
- Job Details Level: Entry Job Location: Nashua, NH - Nashua, NH Position Type: Full Time Education Level: 2 Year Degree Salary Range: $55,000.00 Base Commission/year Job Shift: Day Job Category: Sales ...
- 7 Days Ago
Medical Assistant - Merrimack
- Crossover Health Medical Group, APC
-
Merrimack, NH
FULL_TIME
- About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional ...
- 1 Month Ago
Medical Assistant- Smithfield
- Crossover Health Medical Group, APC
-
Merrimack, NH
FULL_TIME
- About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional ...
- 1 Month Ago
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0 Medical Policy Specialist jobs found in Nashua, NH area
Nurse Care Manager
- Hearth, Inc.
-
Boston, MA
- Overview: As a Nurse Care Manager at Anna Bissonnette House, Elsie Frank House, Burroughs Street, Ruth Cowin House, and ...
- 4/26/2024 12:00:00 AM
Clinical Scientist (Part-Time) 2026161
- Stratacuity: Proven Scientific Placement
-
Cambridge, MA
- Location: Cambridge MA (Hybrid) Science: CRISPR/Cas9 Therapeutic Area: Rare Disease Job Overview: In this role you will ...
- 4/26/2024 12:00:00 AM
Claims Examiner -Remote
- Generis Tek Inc
-
Boston, MA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/25/2024 12:00:00 AM
Vice President Medical Affairs
- BioTecRec
-
Boston, MA
- Position Title: Vice President of Medical Affairs Industry: Biotechnology Employment Type: Full-time Location: Boston Ma...
- 4/25/2024 12:00:00 AM
Senior Paralegal/Nurse Paralegal
- LHH
-
Boston, MA
- LHH Recruitment Solutions is seeking an experienced Paralegal for Boston's premiere medical malpractice and personal inj...
- 4/24/2024 12:00:00 AM
Sr. General Accounting Manager
- Homesafe Alliance
-
Concord, NH
- HomeSafe Alliance Sr. General Accounting Manager Concord , New Hampshire Apply Now HomeSafe Alliance is the single globa...
- 4/24/2024 12:00:00 AM
Claims Examiner –Remote
- Generis Tek Inc
-
Boston, MA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
Vice President Medical Affairs
- Biotecrec
-
Boston, MA
- Position Title: Vice President of Medical Affairs Industry: Biotechnology Employment Type: Full-time Location: Boston Ma...
- 4/23/2024 12:00:00 AM
About Nashua, New Hampshire
Nashua is a city in Hillsborough County, New Hampshire, United States. As of the 2010 census, Nashua had a population of 86,494, making it the second-largest city in the state after Manchester. As of 2017 the population had risen to an estimated 88,341.
Built around the now-departed textile industry, in recent decades it has been swept up in southern New Hampshire's economic expansion as part of the Boston region. Nashua was twice named "Best Place to Live in America" in annual surveys by Money magazine. It is the only city to get the No. 1 ranking on two occasions—in 1987 and 1998.
Nashua is ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$96,958 to $118,353
Nashua, New Hampshire area prices
were up 1.4% from a year ago
were up 1.4% from a year ago
What does a Medical Policy Specialist do?
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