Medical Policy Specialist jobs in Newport News, VA

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)

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Knowledge Management Specialist – Policy & Governance
  • AMSG
  • Fort Eustis, VA FULL_TIME
  • 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:

    • Policy Development and Implementation: Develop and implement comprehensive policies and procedures that are in line with higher-level Army guidance and existing policy frameworks. Ensure these policies effectively support the organization’s goals and are communicated effectively across all levels.

     

    • Strategic Planning: Assist in formulating strategic plans that align with long-term objectives and Army standards. Contribute to the development of operational strategies that enhance organizational efficiency and effectiveness.

     

    • Program and Operations Evaluation: Conduct thorough evaluations of agency plans, programs, operations, and functions. Use these evaluations to recommend improvements and ensure alignment with overarching policy and governance structures.

     

    • KM: Leverage expertise in KM to facilitate the flow of information and insights across the organization. Implement systems and practices that enhance knowledge sharing and collaboration.

     

    • Training and Development: Provide guidance and training to staff regarding new policies and procedures. Ensure a high level of understanding and compliance across the organization.

     

    Requirements:

    • Knowledge of Army doctrine, policies, and procedures.
    • Ability to manage a diverse group of stakeholders to accomplish mission goals.
    • Ability to analyze, innovate, and maintain conventional office work systems/business processes using Microsoft Office 365 and other authorized software solutions.
    • Demonstrated experience supporting senior government leaders in an on-site support role.
    • Demonstrated experience managing projects to create timely, high-quality deliverables.
    • Ability to work in fast-paced environment, multi-task, and prioritize requirements.
    • Proven experience in developing and implementing policies and procedures within a military or similar setting.
    • Demonstrated ability to align operational plans with higher-level guidance.
    • Strong analytical and evaluative skills, with the ability to assess complex plans, programs, and operations.
    • Excellent communication skills, both written and verbal, are essential.
    • In-depth understanding of Army operations, organizational structures, and mission objectives.
    • Proficiency in KM principles and practices.

     

    Additionally, a Candidate will:

    • Exhibits proficiency in business management and a proven record of applying innovative solutions, design thinking, disruptive innovation, process management/design, benchmarking, Lean Six Sigma, Kaizen, rate of innovation, along with other related methodologies and practices to programs of comparable scale and complexity.
    • Demonstrates expertise, understanding, and experience in Organizational Behavior, Organizational Development or Organizational Management.
    • Has experience leveraging performance management/measurement, strategic planning, research, and analysis, change management, and behavioral science theories, principles, and practices.

     

  • 15 Days Ago

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Customer Service Specialist
  • KERMA MEDICAL
  • Suffolk, VA FULL_TIME
  • GENERAL STATEMENT OF JOB: Interact with business partners, customers, freight carriers, suppliers, and internal staff to ensure customers receive the best possible service. Promote an environment that...
  • 2 Days Ago

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Medical Collections Specialist
  • Hampton Roads Orthopaedics and Sports Medicine
  • Newport, VA FULL_TIME
  • HROSM is looking for a FT Collections Specialist to join our team. Qualified candidate should have one year prior experience working in the medical collection field. Job Type: Full-time Benefits: 401(...
  • 12 Days Ago

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INVENTORY MANAGEMENT SPECIALIST
  • US Naval Medical Command
  • Williamsburg, VA FULL_TIME
  • Duties You will perform work requiring practical and technical knowledge of all container and shelters and special construction/conversion projection related or assigned to the Deployable Medical Syst...
  • 26 Days Ago

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Cyber Policy Analyst
  • Apex Systems
  • Hampton, VA FULL_TIME
  • Job DetailsJob#: 2024705 Job Description: Title: Cyber Policy & GRC SpecialistLocation: (Langley AFB) Hampton, VASchedule: M-F standard business hoursContract Layout: "Est. 6 Month Contract to Perm Hi...
  • 4 Days Ago

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Adjunct Lecturer of Public Policy
  • William & Mary
  • Williamsburg, VA FULL_TIME
  • Position Information Position Number P0109W Position Title Adjunct Lecturer of Public Policy Unit Mission Statement The mission of the Public Policy Program is to foster teaching, research, and public...
  • 5 Days Ago

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0 Medical Policy Specialist jobs found in Newport News, VA area

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CDL-A OTR Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Hampton, VA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! CDL-A Solo Drivers: Average 2,220+ Miles Per Week Earn 45-60 CPM Based...
  • 4/24/2024 12:00:00 AM

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CDL-A OTR Truck Driver - Earn 45-60 CPM + Benefits
  • U.S. Xpress
  • Hampton, VA
  • U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! Top Benefits: Average 2,220+ miles per week Earn 45-60 CPM based on lo...
  • 4/24/2024 12:00:00 AM

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Travel Registered Nurse RN Long Term Acute Care LTAC
  • OneStaffMedical
  • NEWPORT NEWS, VA
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready ...
  • 4/23/2024 12:00:00 AM

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Licensed Clinical Social Worker
  • Ppdg
  • Newport News, VA
  • Location: On-site - McDonald Army Health Center - Fort Eustis, VA Shift: M-F 7:30AM - 4:30PM Qualifications: Education M...
  • 4/23/2024 12:00:00 AM

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CMA - NN Family Practice
  • Actalent
  • Newport News, VA
  • Actalent is hiring for a Certified Medical Assistant in Newport News, VA! Description: Perform patient intake to include...
  • 4/21/2024 12:00:00 AM

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Travel Registered Nurse RN Telemetry
  • OneStaffMedical
  • NEWPORT NEWS, VA
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready ...
  • 4/20/2024 12:00:00 AM

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Physician Assistant - Interventional Radiology
  • Lyle Health - Healthcare Recruitment Experts
  • Newport News, VA
  • Thriving radiology group in the Hampton, Virginia area is seeking a physician assistant or nurse practitioner to join th...
  • 4/20/2024 12:00:00 AM

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Merchandising & Product Demonstration Specialist
  • SAS Retail Services
  • Newport News, VA
  • Join our dynamic team as a Merchandising & Product Demonstration Specialist! In this multifaceted role, you'll excel in ...
  • 4/2/2024 12:00:00 AM

Newport News is located at 37°4′15″N 76°29′4″W / 37.07083°N 76.48444°W / 37.07083; -76.48444 (37.071046, −76.484557). According to the United States Census Bureau, the city has a total area of 120 square miles (310 km2), of which 69 square miles (180 km2) is land and 51 square miles (130 km2) (42.4%) is water. The city is located at the Peninsula side of Hampton Roads in the Tidewater region of Virginia, bordering the Atlantic Ocean. The Hampton Roads Metropolitan Statistical Area (officially known as the Virginia Beach-Norfolk-Newport News, VA-NC MSA) is the 37th largest in the nation with...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$84,704 to $103,395
Newport News, Virginia area prices
were up 1.2% 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