Medical Policy Manager jobs in Myrtle Beach, SC

Medical Policy Manager manages and implements corporate policy and process for medical provider and other reimbursements. Ensures that all claims are reviewed, settled, and processed in compliance with and according to contract provisions and regulatory requirements. Being a Medical Policy Manager evaluates and develops policies and provider reimbursement guidelines to effectively manage and control medical claims cost. Requires a bachelor's degree of finance, business or healthcare administration. Additionally, Medical Policy Manager typically reports to head of a unit/department. The Medical Policy Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Policy Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Manager Medical Transport
  • Grand Strand Medical Center
  • Myrtle, SC FULL_TIME
  • Introduction

    We are seeking a(an) Manager Medical Transport with Grand Strand Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us!

    Benefits

    Grand Strand Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

    • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
    • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
    • Free counseling services and resources for emotional, physical and financial wellbeing
    • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
    • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
    • Family support through fertility and family building benefits with Progyny and adoption assistance.
    • Referral services for child, elder and pet care, home and auto repair, event planning and more
    • Consumer discounts through Abenity and Consumer Discounts
    • Retirement readiness, rollover assistance services and preferred banking partnerships
    • Education assistance (tuition, student loan, certification support, dependent scholarships)
    • Colleague recognition program
    • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
    • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

    Learn more about Employee Benefits

    Note: Eligibility for benefits may vary by location.

    We are seeking a(an) Manager Medical Transport for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us!

    Job Summary and Qualifications

    Responsible for the daily transportation operations within the Patient Logistics Center. Manager will to adhere to the Patient Logistics Center’s Standards of Patient Care to deliver safe, quality patient care. Expected to problem solve, and communicate, under the direction of the Med Transport Assistant Vice President, with HCA hospitals, medical staff, administrators, department heads, and nursing staff to medical transportation. Lead and manage all members of these teams and work directly with the Med Transport AVP to maximize volume growth and provide optimized services to HCA customers.

    DUTIES INCLUDE BUT ARE NOT LIMITED TO:

    • Provide leadership, management and administration of all aspects of departments in order to ensure organizational mission and objectives are met
    • Develop relationships and processes that will enhance access to HCA facilities, services, physicians, and health care professionals
    • Hire and maintain appropriate staffing levels and utilization of personnel and ensure the highest quality of professional skill
    • Provide a structured means for policy and procedure development through regularly scheduled staff meetings allowing for continual evaluation, review, and update of standards, functions, goals, and objectives
    • Provides recommendations for outreach activities/initiatives and is involved in applicable outreach committees
    • Attend HCA Corporate Medical Transportation meetings and training
    • Promote HCA culture of excellence and quality service through teamwork, respectful communication, maintenance of a professional environment, partnership with those we serve, and anticipation of patient and customer needs
    • Manage capital/operational budget, strategic planning, customer relations, marketing, and outreach activities of the Medical Transportation team within the Patient Logistics Center
    • Manage and collaborate with facility and division leaders, all activities, changes and stakeholder relationships related to medical transportation
    • Consult with HCA Corporate and Division legal advisors on the interpretation and enforcement relevant regulations and laws pertinent to department functions
    • In conjunction with the Med Transport AVP, collect, correlate, analyze, and interpret operational, financial, and statistical data. Inform and advise appropriate members of the HCA Senior Management team of potential business opportunities
    • Assists with development of new programs/services
    • Demonstrate responsibility for the containment of costs through appropriate ordering of supplies, recovery of service charges, and conservation of supplies
    • Monitor department expenditures to ensure compliance with budget limits
    • Respond promptly to changes in workload, adjusting assignments as necessary to achieve optimal productivity and efficiency
    • Develop standards of performance, conduct annual performance evaluation, and initiate or make recommendations for HR actions
    • Provide leadership development to all staff for effective problem identification and resolution, and for efficient day-to-day operations
    • Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement
    • Other duties as assigned

    KNOWLEDGE AND SKILLS

    • Knowledge of the principles and practices of hospital and clinical operations and/or healthcare management
    • Participative management style and an ability to work in a matrixed environment
    • Excellent interpersonal skills with an ability to work effectively with diverse groups of people, including but not limited to Corporate/Division leadership, HCA Patient Logistics Center leadership, staff from information technology and clinical backgrounds, physicians, and external vendors
    • Obtain knowledge of state and national rules and regulations
    • Must be independent, driven, self-motivated, and passionate with an exceptional work ethic, executive presence, integrity and presentation skills, both oral and written
    • Knowledge of productivity, financial operations and reporting systems
    • Proficient in Microsoft Office applications, Internet searches, and relevant databases
    • Ability to work independently and under pressure to follow through on issues
    • Ability to communicate clearly and concisely, both verbally and in writing
    • Ability to establish and maintain long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
    • Ability to work effectively with other employees and external parties

    EDUCATION

    • Associate’s degree in a health-related field required; Bachelor’s preferred

    HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

    HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


    "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder

    Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters.

    We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

  • 12 Days Ago

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Manager Medical ICU
  • Grand Strand Medical Center
  • Myrtle, SC FULL_TIME
  • Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Manager Medical ICU with Grand Strand Medical Center you can be a part of an orga...
  • 1 Month Ago

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Medical Field Case Manager
  • Genex
  • Florence, SC FULL_TIME
  • Genex Service LLCMedical Field Case ManagerUS-SC-FlorenceJob ID: 24-16618Type: Regular Full-Time# of Openings: 1Category: Case ManagementMitchell International, Inc.OverviewThe Enlyte Family of Busine...
  • 22 Days Ago

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Medical Field Case Manager
  • Genex
  • Myrtle, SC FULL_TIME
  • Genex Service LLCMedical Field Case ManagerUS-SC-Myrtle BeachJob ID: 24-16601Type: Regular Full-Time# of Openings: 1Category: Case ManagementMitchell International, Inc.OverviewThe Enlyte Family of Bu...
  • 2 Days Ago

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Medical Case Manager I
  • CorVel Brand
  • Myrtle, SC FULL_TIME
  • CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Myrtle Beach, SC. Work from home, and on the road. Monday –...
  • 16 Days Ago

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Medical Case Manager I
  • CorVel Corporation
  • Myrtle, SC FULL_TIME
  • CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Myrtle Beach, SC. Work from home, and on the road. Monday –...
  • 1 Month Ago

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0 Medical Policy Manager jobs found in Myrtle Beach, SC area

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practice manager
  • Banfield Pet Hospital
  • Myrtle Beach, SC
  • Opening Statement Veterinary Practice Manager Careers at Banfield Pet Hospital Practice Managers play a pivotal role in ...
  • 3/28/2024 12:00:00 AM

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Coral Beach Resort Lead Assistant Executive Housekeeper
  • Beach Holidays, LLC
  • Myrtle Beach, SC
  • Coral Beach Resort Lead Assistant Executive Housekeeper $48,000 - $52,000 a year Responsibilities include: Assists Execu...
  • 3/28/2024 12:00:00 AM

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Cook / Grill Operator
  • Waffle House, Inc.
  • Myrtle Beach, SC
  • At Waffle House, we are not in the food business. We are in the People Business and we are hiring immediately for full t...
  • 3/28/2024 12:00:00 AM

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Chief Engineer
  • Hilton Grand Vacations
  • Myrtle Beach, SC
  • Are you looking for an exciting leadership opportunity? Do you want to work for a company that values its team members a...
  • 3/27/2024 12:00:00 AM

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Housekeeper - FT Non-Seasonal
  • TerraBella Senior Living
  • Myrtle Beach, SC
  • TerraBella Senior Living is the proud operator of more than 20, amenity-, care- and lifestyle-focused communities locate...
  • 3/27/2024 12:00:00 AM

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PMHNP Psychiatric Mental Health Nurse Practitioner
  • LifeSource, Inc.
  • Myrtle Beach, SC
  • Job Description Job Description Hiring Now-Part Time- PMHNP/Psych NP/PA with Psych Experience in Myrtle Beach - Flexible...
  • 3/26/2024 12:00:00 AM

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Child Psychiatrist - Outpatient - Clinic/Telehealth hybrid
  • LifeStance Health
  • Myrtle Beach, SC
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 3/25/2024 12:00:00 AM

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Psychiatric Nurse Practitioner (PMHNP) - Outpatient
  • LifeStance Health
  • Myrtle Beach, SC
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 3/25/2024 12:00:00 AM

Myrtle Beach is a coastal city on the East Coast of the United States in Horry County, South Carolina. It is in the center of a large and continuous 60-mile (97 km) stretch of beach known as "The Grand Strand" in northeastern South Carolina. Ranked as the second fastest-growing metropolitan area in the country (per 2018 census estimates), Myrtle Beach is one of the major centers of tourism in South Carolina and the United States because of the city's warm subtropical climate and extensive beaches, attracting an estimated 14 million visitors each year. As of the 2010 census, the population of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$118,063 to $144,135
Myrtle Beach, South Carolina area prices
were up 1.5% from a year ago

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