Medical Policy Specialist jobs in Sumter, SC

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)

A
Antiterrorism & Force Protection Policy Analyst
  • ANSER
  • Shaw, SC FULL_TIME
  • Company Overview:

    Analytic Services, Inc. (ANSER) enhances national and homeland security by strengthening public institutions. We provide thought leadership for complex issues through independent analysis and we deliver practical, useful solutions. ANSER values collaboration, integrity, and initiative and we are client focused in all that we do. Because we were established for the purpose of public service and not for profit, we measure our success in the impact of our service.

    Position Overview:

    ANSER is seeking an individuals to support 9AF (AFCENT) high-level analytical services and consulting and management expertise to 9AF (AFCENT) staffs responsible for: program management, operational employment of airpower, joint operations, intelligence, logistics, information technology, Air Operations Center (AOC) operations, deliberate and contingency planning and supporting programs, operational employment of air combat weapons systems, and other functional areas required by mission demands.

    Responsibilities:

    The successful candidate will have demonstrated capability to;

    • Provide technical expertise in the implementation or evaluation of 9AF (AFCENT) access entry control operations. Assist with the protection of property from the dangers of sabotage, espionage, and intrusion.
    • Participate in access entry control and sensor systems software and hardware implementation, maintenance, testing, and periodic checks. Assist with identifying performance limits and monitoring concerns. Properly document outcomes as directed by management.
    • Perform physical security site surveys. Provide effective and economical recommendations for onsite improvements to the exterior and interior security elements to include but not limited to security lighting, intrusion detection and assessment equipment, annunciation and display systems, security communications, or other security measures that protect Government property and personnel.
    • Identify, analyze, and resolve broad and complex security concerns. Notify and assist management, if necessary, with the development of new or revised policies, procedures, and their implementation.
    • Execute and enforce compliance to physical and personnel security requirements outlined in directives, instructions, manuals, regulations, and local policies. Address alarms and/or telephone/radio calls by determining and taking appropriate action; identified by management.
    • Assess security controls to ensure security protocols are not compromised. Prevent unauthorized access or unauthorized disclosure of information. Notify management of any policy or procedure concerns, directorate security manager concerns, or personnel issues.
    • Perform DISS (or new tools) functions to include but not limited to security clearance verification, create, modify, or cancel visit requests, and perform detailed report functions.
    • Conduct periodic reviews of security clearances and credentials. Distribute notices of required changes, reports, records, and other documents, as directed. Analyze operating efficiencies and resources. Make recommendations for modifications and/or changes to management.
    • Assist in the development and performance of access entry control functions, credential issuance or confiscation, the explanation of policy, procedures, and the operation of access hardware to other security specialists, visitors, and Government and contract personnel.
    • Consult with other security specialists to develop protection procedures for Government approval that provide maximum protection without any major interference to the mission. Recommend corrective action when or where security requirements are not adhered to.
    • Operate, monitor, and maintain VICADS architecture and software, operating processes, and store images captured and/or recorded on network video recording and storage devices for multiple facilities.
    • Assist with IP networking, Windows-based servers and workstations, hardware and software, as well as CCDE and security and video surveillance.
    • Assist in overseeing VICADS robust configuration parameters including alarm point priority assessment, automatic or manual call up policies, automatic PTZ presets upon alarm and intelligent queuing logic for multiple alarms.
    • Responsible for escorting designated personnel into controlled premises. Provide an authorized service for USAFCENT facilities’ (B1102/B1130) construction projects and/or installations during operational hours.
    • Conduct and monitor office orientation training for newly assigned personnel ensuring that all requirements are adhered to, and policies and procedures are maintained.
    • Assist 9AF (AFCENT) in expediting entry/exit during emergency situations, operate facility PA systems, and streamline emergency responders’ access to facility and key infrastructure

    Knowledge, Skills, and Abilities (KSA).

    • Three (3) years’ experience with entry control procedures, CCTV operations, and badge issuance is required. Experience in Vindicator or Hirsch products and VICADS operations are preferred.
    • Current ESS certification or previously qualified as a protection level entry controller and alarm monitor
    • U.S. Secret security clearance.

    Disclaimer:

    In compliance with the Americans with Disabilities Act (ADA), if you have a disability and would like to request an accommodation in order to apply for a position with ANSER, please call 703-416-2000 or e-mail Recruiting@anser.org.

    ANSER is proud to be an Equal Opportunity Employer. We seek individuals from a broad variety of backgrounds with varying levels of experience who have a desire to do meaningful work. We recruit, employ, train, compensate, and promote regardless of race, color, gender, gender identity, religion, national origin, ancestry, disability, age, veteran status, sexual orientation, or any other characteristic protected by law.

  • 16 Days Ago

M
Medical Courier Job
  • Medical Courier Job Jobs Hiring
  • Cassatt, SC FULL_TIME
  • (Hiring Immediately) Part/Full-Time Medical Courier Job Jobs Available in Cassatt, SC. No Experience Required.
  • 25 Days Ago

M
Medical Courier Job
  • Medical Courier Job Jobs Hiring
  • Cameron, SC FULL_TIME
  • (Hiring Immediately) Part/Full-Time Medical Courier Job Jobs Available in Cameron, SC. No Experience Required.
  • 25 Days Ago

M
Medical Courier Job
  • Medical Courier Job Jobs Hiring
  • Davis, SC FULL_TIME
  • (Hiring Immediately) Part/Full-Time Medical Courier Job Jobs Available in Davis Station, SC. No Experience Required.
  • 25 Days Ago

M
Medical Courier Job
  • Medical Courier Job Jobs Hiring
  • Greeleyville, SC FULL_TIME
  • (Hiring Immediately) Part/Full-Time Medical Courier Job Jobs Available in Greeleyville, SC. No Experience Required.
  • 25 Days Ago

M
Medical Courier Jobs
  • Medical Courier Jobs Jobs Hiring
  • Cameron, SC FULL_TIME
  • (Hiring Immediately) Part/Full-Time Medical Courier Jobs Jobs Available in Cameron, SC. No Experience Required.
  • 26 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Specialist jobs found in Sumter, SC area

R
Medical Specialist I (Gastro)-Greenville, SC
  • Regeneron Pharmaceuticals
  • Columbia, SC
  • The Medical Specialist (Sales Representative), Gastroenterology (MS) will report to the District Manager, Gastroenterolo...
  • 4/24/2024 12:00:00 AM

M
CDL-A Truck Driver - Daily Pay - 99% No-Touch Freight
  • May Trucking
  • Sumter, SC
  • May Trucking is Now Hiring CDL-A Dedicated Drivers - Southeast Regional! Guaranteed Daily Pay - 99% No-Touch Freight - M...
  • 4/24/2024 12:00:00 AM

O
Primary Care Physician (FM/IM) - Colonial Healthcare
  • Optum
  • Sumter, SC
  • $25,000 Sign-on Bonus for External Candidates Opportunities with Colonial Healthcare, part of the Optum family of busine...
  • 4/23/2024 12:00:00 AM

S
Travel Cardiac Sonographer - $2,520 per week
  • Stability Healthcare
  • Sumter, SC
  • Planet Healthcare is seeking a travel Cardiac Sonographer for a travel job in Sumter, South Carolina. Job Description & ...
  • 4/23/2024 12:00:00 AM

H
Travel Occupational Therapist - $1,925 per week
  • Hiring Now!
  • Sumter, SC
  • Jackson Therapy Partners is seeking a travel Occupational Therapist for a travel job in Sumter, South Carolina. Job Desc...
  • 4/23/2024 12:00:00 AM

G
TRAVEL NURSE RN - STEPDOWN - $1,744 TO $1,937 PER WEEK IN SUMTER, SC
  • Gifted Healthcare
  • Sumter, SC
  • Registered Nurse (RN) 03/25/2024 to 06/24/2024 $1,744 - $1,937/week Travel Night Shift 13 weeks at 36/week The Gifted He...
  • 4/23/2024 12:00:00 AM

M
Machinist
  • Manpower
  • Sumter, SC
  • Our client, a manufacturer of medical devices is seeking a Machinist to join their team. As a Machinist you will be part...
  • 4/23/2024 12:00:00 AM

M
Inspector 1, Quality Control
  • Manpower USA
  • Sumter, SC
  • Our client, multinational medical technology company is seeking a quality control specialist to join their team. As an i...
  • 4/22/2024 12:00:00 AM

Sumter /ˈsʌmtər/ is a city in and the county seat of Sumter County, South Carolina, United States. Known as the Sumter Metropolitan Statistical Area, the namesake county adjoins Clarendon and Lee to form the core of Sumter-Lee-Clarendon tricounty area of South Carolina that includes the three counties in the east central Piedmont. The population was 39,643 at the 2000 census, and it rose to 40,524 at the 2010 census. Known as the Gamecock City,[citation needed] Sumter lies near the geographic center of the state of South Carolina at 33°55′37″N 80°21′49″W / 33.92694°N 80.36361°W / 33.92694; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$79,963 to $97,609
Sumter, South Carolina area prices
were up 1.5% 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