Medical Policy Specialist jobs in Roanoke, 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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Spine Specialist
  • Globus Medical, Inc.
  • Roanoke, VA FULL_TIME
  • At Globus, we move with a sense of urgency to deliver innovations that improve the quality of life of patients, inspired by the surgeons and healthcare providers who treat them.

    Our world-class engineering works to transform clinical insights into tangible musculoskeletal solutions. We are constantly in pursuit of better patient care, and we understand that speed is critical because life cannot wait. Join us!

    Position Summary:

    The Spine Specialist responsibility is to market and promote Globus Medical assigned products within the guidelines of the company’s quality policy and procedures.  The sales goals and objectives assigned will be met and exceeded by having a full knowledge of Globus products, offerings, and surgical techniques, as well as understanding the customer needs and professionally positioning Globus Medical products above the competitions. 

    The responsibilities of the position include, but are not limited to, the following:

    • Meeting or exceeding all sales goals and objectives assigned in assigned territory
    • Gaining and consistently increasing product knowledge through formal sales training; surgeon speaker programs, attending surgeries or visits, and industry research
    • Communicating new ideas promptly to product development
    • Attending and participating in sales meetings, training programs, conventions, and trade shows as directed
    • Developing thorough knowledge and understanding of all Globus Medical products and major competitors in all product area
    • Maintaining conduct that is aligned with company quality policy, and protects confidentiality with proprietary information
    • Regularly providing feedback on topics such as product development opportunities, new target accounts, sales performance, and market feedback
    • Developing relationships with key spine surgeon customers
    • Maintaining Consignments and Loaner inventory and moving loaner sets between accounts as needed
    • Creating and implementing an annual business plan with quarterly updates
    • Managing travel expenses within budget
    • Adhering to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies. Ensure Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
    • Representing the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties of Globus

    In order to be qualified for this role, you must possess the following:

    • 2 years of medical device sales or surgical related products; Bachelor’s Degree
    • Proficiency in MS Office
    • Ability to travel as necessary, which may include nights and/or weekends
    • Strong understanding of spinal anatomy
    • Experience within an operating room strongly preferred
    • Ability to make sales presentations with positive results
    • Manual dexterity is essential
    • Ability to collaborate and influence; excellent interpersonal, verbal and written communication skills

    Other Duties:

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

    Physical Demands:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  The employee is occasionally required to sit; climb or balance; and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

    Globus Medical is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. 

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Patient Accounts Insurance Verification Specialist -- Admitting -- Greenbrier Valley Medical Center
  • Charleston Area Medical Center (CAMC) Health System
  • Ronceverte, WV FULL_TIME
  • Job Summary Oversees the process of Insurance Verification, identifying patient responsibility and estimates in regards to payments (co-pays, deductible and co-insurance), and that pre-authorizations ...
  • 28 Days Ago

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Nursing Education Specialist -- Education -- Greenbrier Valley Medical Center - 1320 Maplewood
  • Charleston Area Medical Center (CAMC) Health System
  • Ronceverte, WV FULL_TIME
  • Job Summary Assess, plan, implement, evaluate, develop, maintain and coordinate educational opportunities through a system-wide focus for all disease and age groups to support nursing practice 24 hour...
  • 28 Days Ago

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Medical Office Specialist
  • LewisGale Physicians - General Surgery
  • Salem, VA FULL_TIME
  • Introduction Do you have the career opportunities as a(an) Medical Office Specialist you want with your current employer? We have an exciting opportunity for you to join LewisGale Physicians - General...
  • 6 Days Ago

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Medical Office Specialist
  • LewisGale Physicians - Salem OBGYN
  • Salem, VA FULL_TIME
  • Introduction Do you have the career opportunities as a(an) Medical Office Specialist you want with your current employer? We have an exciting opportunity for you to join LewisGale Physicians - Salem O...
  • 8 Days Ago

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Medical Office Specialist
  • LewisGale Physicians - Peters Creek
  • Roanoke, VA FULL_TIME
  • Introduction Do you have the career opportunities as a(an) Medical Office Specialist you want with your current employer? We have an exciting opportunity for you to join LewisGale Physicians - Peters ...
  • 8 Days Ago

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0 Medical Policy Specialist jobs found in Roanoke, VA area

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Data Entry Associate
  • Collabera
  • Roanoke, VA
  • Job Description Job Description Note: The position is Onsite. Position Details: Position: Associate Operations Processor...
  • 4/16/2024 12:00:00 AM

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National Process Architecture Leader – Life Science & Technology (Multiple Locations)
  • Burns & McDonnell
  • Roanoke, VA
  • **Description** Burns & McDonnell is looking for an experienced National Process Architecture Leader to support Engineer...
  • 4/16/2024 12:00:00 AM

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Field Application Specialist - HammerHead
  • The Toro Company
  • Roanoke, VA
  • Typical Starting Pay: $80,000-$105,000, plus bonuses. What Can We Give You? Medical, Dental, Vision, 401K Matching up to...
  • 4/15/2024 12:00:00 AM

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Veterinary Technician
  • Banfield, The Pet Hospital
  • Roanoke, VA
  • Credentialed Veterinary Technician The anticipated starting hourly rate for individuals expressing interest in this posi...
  • 4/15/2024 12:00:00 AM

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Production Operator - No Experience Required
  • Chemsolv, Inc.
  • Roanoke, VA
  • Job Description Job Description Founded in 1979, Chemsolv is well established as one of the largest chemical distributor...
  • 4/14/2024 12:00:00 AM

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Licensed Practical Nurse LPN
  • LGP - Internal Med of Roanoke
  • Roanoke, VA
  • Description Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring ...
  • 4/12/2024 12:00:00 AM

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Licensed Practical Nurse LPN
  • LGP - Internal Med of Roanoke
  • Roanoke, VA
  • Description Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring ...
  • 4/12/2024 12:00:00 AM

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Travel CVICU Registered Nurse (RN) job in Roanoke, VA
  • Gifted Healthcare
  • Roanoke, VA
  • The Gifted Healthcare Experience Gifted Healthcare is an award-winning travel nursing agency that offers nursing contrac...
  • 4/9/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 42.9 square miles (111.1 km2), of which 42.5 square miles (110.1 km2) is land and 0.3 square miles (0.8 km2) (0.8%) is water. Roanoke is located in the valley and ridge province of Virginia immediately west of the Blue Ridge Mountains and east of the Allegheny Mountains Within the city limits is Mill Mountain, which stands detached from surrounding ranges. Its summit features the Roanoke Star, Mill Mountain Zoo, the Discovery Center interpretive building, and an overlook of the Roanoke Valley. The Appalachian Trail runs...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$82,647 to $100,884
Roanoke, 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