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)
As the Public Health Policy Manager, you will be involved in leading and facilitating public health policy initiatives for the Pima County Health Department as part of the broader objective to make Pima County one of the healthiest counties in the nation by 2030. In this capacity, you will engage in health policy research, advocate and support public policy interventions, and conduct policy education. The position is dedicated to fostering public health policy development that promotes health equity, addresses social determinants of health, collaborates on public health policy initiatives through partnerships, and provides technical assistance in policy, systems, and environmental changes for public health projects. Additionally, this role identifies and nurtures potential policy changes across various industry and government levels to advance health equity and enhance health promotion within a wide range of public policies.
In its capacity as the regional health authority, you will assist the health department in guiding all localities within Pima County to undertake initiatives aimed at enhancing the health of all residents. The manager will be instrumental in ensuring compliance with accreditation requirements, implementing strategic plan objectives, and offering thought leadership in the realm of public health policy.
This position is in the Office of Policy, Resilience, and Equity, which operates within a framework that aids staff and programs in fostering stronger collaborations with the community, tackling health disparities, enhancing (DEI) capabilities, and proficiently influencing policy and systems to equitably address the health needs of Pima County residents. In this role you will oversee a staff of two.
(1) Bachelor's degree from an accredited college or university and four years of professional level experience in coordinating, monitoring, administering or managing program or specialized work unit activities.
(Relevant professional level experience and/or education from an accredited college or university may be substituted.)
OR:
(2) One year of experience with Pima County as a Program Coordinator.
Qualifying education and experience must be clearly documented in the "Education" and “Work Experience" sections of the application. Do not substitute a resume for your application or write "see resume" on your application.
Preferred Qualifications: (Be specific in describing your experience in your application. Ensure the descriptions provided illustrate your competencies, specifically addressing the required and preferred qualifications.):Selection Procedure:
Pima County Human Resources Department reserves the right to admit to the selection process only those candidates that meet the minimum/desired qualifications. All applications will be assessed based on an evaluation of the listed education and experience. Candidates meeting the minimum/desired qualifications may be further evaluated/scored against any advertised Preferred Qualifications. The hiring authority will interview and select the successful candidates from a referral list provided by Human Resources. Additional assessments/testing may be required as part of the selection process.
Licenses and Certificates: Valid driver license is required at time of application. Valid AZ driver license is required at time of appointment. The successful applicant will be subject to a 39-month DOT Motor Vehicle Record review to determine applicant’s suitability to operate county vehicles in accordance with Pima County administrative procedures. Failure to obtain and maintain the required licenses and certifications shall be grounds for termination. Any offer of employment resulting from this recruitment is contingent upon Fleet Services’ review and approval of the candidate’s driving record.
Special Notice: The County requires pre-employment background checks. Successful candidates will receive a post-offer, pre-employment background screening to include verification of work history, education, and criminal conviction history. A prior criminal conviction will not automatically disqualify a candidate from employment with the County. Some positions within this classification may require irregular work schedules and/or travel and may carry a low risk of exposure to infectious diseases. Therefore, special medical screening prior to or during employment may be necessary to ensure employee health and safety. Some positions within this classification may require satisfactory completion of a personal background investigation, polygraph test, and/or drug screening by law enforcement agencies at time of appointment.
Physical/Sensory Requirements: Physical and sensory abilities will be determined by position.
EEO Information: Pima County Government is an Equal Employment Opportunity employer. We are committed to an inclusive and diverse workforce and will not discriminate in employment opportunities or practices on the basis of race, color, religion, national origin, age, disability, gender, sexual orientation, kinship, political interest, or any other characteristic protected by law.