Medical Policy Manager jobs in Easton, PA

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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Mid-Atlantic Policy Manager
  • Appalachian Mountain Cl
  • Bethlehem, PA FULL_TIME
  • The Appalachian Mountain Club (AMC) is seeking a talented and enthusiastic conservation advocate and public policy professional to lead our coalition-based work to advance conservation and recreation in the Mid-Atlantic Region, based out of Bethlehem, Pennsylvania. A qualified candidate will be enthusiastic about AMC’s conservation mission and approach, have a proven track record as a skilled communicator, and will have experience in community and constituency engagement around public policy issues.

    Responsibilities:
    • Lead AMC's conservation and recreation policy work in the Mid-Atlantic region, including identifying and implementing public policy and advocacy campaigns and initiatives at both the state and federal level, often working in partnership with other non-profit organizations and interest groups in a coalition setting.
    • Organize and coordinate active support for AMC's Mid-Atlantic conservation programs and priority policy issues among our members, the public, and partner organizations.
    • Write and edit compelling pieces, including online action alerts, social media posts, and blog entries, as well as policy memos, testimony, lobbying materials and press releases.
    • Lead and support the Pennsylvania Highlands Coalition in its work to protect the Pennsylvania Highlands region, including the implementation of the Pennsylvania Highlands Coalition strategic plan.
    • Organize and host informational programs and events, such as webinars, meetings, presentations in the Highlands and Delaware River watershed.
    • Engage and cultivate AMC members and volunteers, including coordinating and attending meetings, events, and recreational outings as needed.
    • Represent AMC at regional conferences, press events, and meetings in the Mid-Atlantic region.

    Qualifications and Experiences:
    • Bachelor’s degree (or higher) plus a minimum of 3 years of experience in fields related to: conservation advocacy, land and water protection, environmental policy, issue-based campaign work, volunteer relations, constituency engagement, communications, or related experience, is required.
    • Leadership experience working in a coalition setting, network, or partnership of diverse interests towards a common set of goals.
    • Strong written and verbal communications skills and an ability to effectively reach different audiences with different communications tools.
    • Solid computer skills and a willingness to learn more as needed
    • Ability to work both independently and as part of a team.
    • Proven experience in working effectively to support and engage volunteers and other constituents often of a varied background and experience level.
    • Must have a valid driver’s license and willingness to work occasional evenings and weekends, as well as a willingness to travel throughout the Mid-Atlantic region as needed.
    • Physical abilities required: Majority of work is performed in a standard office setting. Ability to occasionally travel safely in the backcountry in all weather conditions carrying a backpack of up to 20 pounds is preferred. Must be able to sit, stand, walk, and operate standard office equipment.

    To Apply: Please include your resume and a cover letter when applying. No phone calls, please.

    The Appalachian Mountain Club has zero tolerance for child abuse or placing children in danger. The AMC requires all employees to have a criminal background record check performed on their name annually with employment contingent upon satisfactory results.

    The AMC is an Equal Opportunity Employer and values diversity in the workplace. The AMC encourages the involvement of all people in its mission and activities, through its membership, programs, policies, and procedures. Our goal is to be a community that is comfortable, inviting, and accessible for people of any age, gender, race, religion, ethnicity, ability, sexual orientation, or socioeconomic status. Join us!

  • Just Posted

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Mid-Atlantic Policy Manager
  • Appalachian Mountain Cl
  • Bethlehem, PA FULL_TIME
  • The Appalachian Mountain Club (AMC) is seeking a talented and enthusiastic conservation advocate and public policy professional to lead our coalition-based work to advance conservation and recreation ...
  • 1 Month Ago

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Patient Care Advocate
  • Oakland Manager LLC dba Justice Grown
  • Bethlehem, PA FULL_TIME
  • The Patient Care Advocate (PCA) is responsible for creating an exceptional customer experience for our medical dispensary patients. This role ensures all sales are compliant with state regulations, th...
  • 1 Month Ago

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Associate Product Manager/Product Manager
  • Tyber Medical LLC
  • BETHLEHEM, PA FULL_TIME
  • Description The Associate Product Manager/Product Manager handles daily administrative tasks, conducts market research, gathers consumer behavior data, creates reports on marketing metrics, assists in...
  • 1 Month Ago

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Medical
  • Coast Medical Service
  • Allentown, PA FULL_TIME
  • Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Please note tha...
  • Just Posted

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Medical Case Manager - Hybrid
  • Crawford & Company
  • Allentown, PA FULL_TIME
  • Responsibilities Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to medical case resolution ...
  • 1 Month Ago

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0 Medical Policy Manager jobs found in Easton, PA area

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Sr. Clinical Research Scientist
  • Legend Biotech Us
  • Trenton, NJ
  • Company InformationLegend Biotech is a global biotechnology company dedicated to treating, and one day curing, life-thre...
  • 4/28/2024 12:00:00 AM

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Pediatric-Hospitalist Job Near Allentown, PA
  • The National Coalition Of Healthcare Recruiters
  • Allentown, PA
  • Pediatric-Hospitalist Job Near Allentown, PA An established facility is seeking a board certified or board qualified ped...
  • 4/28/2024 12:00:00 AM

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Psychologist / Neuropsychologist
  • Easton Neuropsychology And Behavioral Services Llc
  • Allentown, PA
  • Job Description Job Description This position is located in Nazareth, PA, USAEaston Neuropsychology, a well-established ...
  • 4/28/2024 12:00:00 AM

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Home Health Caregiver/ PCA (Easton, PA)
  • Citadel Home Care
  • Easton, PA
  • Eminence Home Care is a trusted provider of home care services, dedicated to improving the quality of life for our clien...
  • 4/26/2024 12:00:00 AM

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Child Psychiatrist @ Lehigh Valley, PA
  • LifeStance Health
  • Lehigh Valley, PA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/26/2024 12:00:00 AM

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Psychologist / Neuropsychologist
  • Easton Neuropsychology and Behavioral Services, LLC
  • Nazareth, PA
  • Job Description Job Description Easton Neuropsychology, a well-established group practice, is looking for a neuropsychol...
  • 4/24/2024 12:00:00 AM

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Executive Director, Medical Affairs Outcomes Research (MAOR) US Field Medical Lead
  • Organon & Co
  • Plymouth Meeting, PA
  • Job Description The Position The Executive Director, Medical Affairs Outcomes Research (MAOR) US Field Medical Lead is r...
  • 4/24/2024 12:00:00 AM

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Sr. Clinical Research Scientist
  • Legend Biotech Corp
  • Somerset, NJ
  • Company Information Legend Biotech is a global biotechnology company dedicated to treating, and one day curing, life-thr...
  • 4/24/2024 12:00:00 AM

Easton is a city in and the county seat of Northampton County, Pennsylvania, United States. The city's population was 26,800 as of the 2010 census. Easton is located at the confluence of the Delaware River and the Lehigh River, roughly 55 miles (89 km) north of Philadelphia and 70 miles (110 km) west of New York City. Easton is the easternmost city in the Lehigh Valley, a region of 731 square miles (1,893 km2) that is home to more than 800,000 people. Together with Allentown and Bethlehem, the Valley embraces the Allentown-Bethlehem-Easton metropolitan area, including Lehigh, Northampton, an...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$131,630 to $160,694
Easton, Pennsylvania area prices
were up 1.5% from a year ago

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