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)
AMSG is seeking a full time Knowledge Management Specialist – Policy and Governance with U.S. Army Training and Doctrine Command (TRADOC) or other Army experience.
AMSG supports a variety of Department of Defense (DoD), Department of Veterans Affairs (VA), Department of Homeland Security (DHS), Defense Health Agency (DHA), Department of the Treasury, and Federal Trade Commission (FTC) programs with performance management services. We take pride in our great work environment and highly motivated company. Join our team of top talent in supporting the federal government!
We hire Veterans and military family members!
Location : Fort Eustis, VA
Education: Bachelor’s Degree
Experience: 8 years of professional experience
Clearance Requirements: DoD Top Secret Clearance
Job Type: Full Time/Onsite
General Description:
The Knowledge Management (KM) Specialist in Policy and Governance plays a critical role in our organization, focusing on the development and implementation of effective policies, plans, and procedures that align with the broader goals and guidelines of the Army. This position requires a deep understanding of military operations, organizational dynamics, and strategic planning, making it ideal for candidates with a background in military science.
Specific Duties:
Requirements:
Additionally, a Candidate will:
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0 Medical Policy Specialist jobs found in Newport News, VA area