Medical Policy Manager jobs in Kentucky

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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Field Data Collector (PPC)
  • Mathematica Policy Research
  • Irvine, KY PART_TIME
  • Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public-and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics. Our work yields actionable information to guide decisions in wide-ranging policy areas, from health, education, early childhood, and family support to nutrition, employment, disability, and international development.

    Mathematica is seeking part-time Field Locators to work on the Study of Food and Well-Being (PPC), sponsored by the U.S. Department of Agriculture’s (USDA) Food & Nutrition Service (FNS). This important study will advance understanding of the relationship between poverty, well-being, and food security status by gathering information about the food-related experiences, benefits received, and overall health and well-being of impoverished households. In-person data collection will begin in July of 2024.

    Field staff will locate hard-to-reach study participants to encourage and support them in completing a survey via telephone or an online platform.

    Responsibilities Include:

    • Traveling frequently to selected locations, making in-person contact with study participants to determine eligibility and discussing the study, answering questions, and obtaining participation.
    • Liaising between study participants and phone interviewing staff in the collection of confidential information and the administering of a standardized questionnaire.
    • Assisting study participants in the completion of a self-administered survey via web.
    • Safeguarding any participant incentives, issued equipment, or project materials against damage, loss, or theft.
    • Maintaining confidentiality of project and participant information.
    • Submitting timely and accurate Time & Expense reports (travel time and mileage is fully reimbursable).

    Qualifications:

    • Positive, self-motivated, and comfortable interacting with people from culturally diverse backgrounds.
    • Possess effective communication skills through speech and listening.
    • Effective time, schedule, and workload management skills to meet set deadlines.
    • Computer skills, including email and internet proficiency.
    • Willingness to undergo a low-level background check.
    • Must have a valid driver's license and reliable personal automobile available for business use.
    • Ability to work a minimum of 25 hours per week for the duration of the project with flexibility to work during daytime, evening and weekend hours.

    Attendance and successful completion of all scheduled training sessions is required to work on the PPC project. Project training is expected to occur July 2024.

    This position offers an hourly rate beginning at $20 per hour.

    Job Type: Part-time

    Pay: $20.00 per hour

    Benefits:

    • Flexible schedule

    Schedule:

    • Day shift
    • Evening shift
    • Monday to Friday
    • Night shift
    • Weekends as needed

    Work Location: On the road

  • Just Posted

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Operations Manager - Florence, KY
  • Signode -Operations Manager
  • Florence, KY FULL_TIME
  • Operations Manager - Florence, KY Apply Now Description/Job Summary About Signode:With over $2B in revenue, 80 manufacturing facilities across 6 continents and over 9,000 employees worldwide, Signode ...
  • 5 Days Ago

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Human Resources Manager - Florence, KY
  • Signode -Human Resources Manager
  • Florence, KY FULL_TIME
  • Human Resources Manager - Florence, KY Apply Now Description/Job Summary About Signode:With over $2B in revenue, 80 manufacturing facilities across 6 continents and over 9,000 employees worldwide, Sig...
  • 7 Days Ago

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RN Manager - Medical/Surgical
  • Watertown Regional Medical Center
  • Winchester, KY FULL_TIME
  • Clark Regional Medical CenterDescription About Us Lifepoint Health's Central Kentucky market is comprised of four acute care, community-based hospitals, with over 50 outpatient clinics that provide co...
  • 19 Days Ago

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Assistant Office Manager /Home Medical Equipment
  • Performance Medical Supply Inc
  • Lexington, KY FULL_TIME
  • Home Medical Equipment company seeking an Assistant to the Office Manager. The job location is in person in Lexington KY. We are looking for organized, dedicated, customer service-oriented candidate t...
  • 1 Month Ago

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Engineering Manager
  • Mozarc Medical
  • Mirandola, KY FULL_TIME
  • Position Title: R&D Engineering Manager – Embedded Software A Day in the Life The R&D Embedded Software Engineering Manager in the field of dialysis technologies plays a pivotal role in shaping the fu...
  • 1 Month Ago

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Head of Medical Writing
  • Aerovate Therapeutics, Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/25/2024 12:00:00 AM

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Assistant-Certified Medical Lead
  • Baptist Memorial
  • Memphis, TN
  • Summary Provides personal care assistance to patients under the direction of licensed personnel and /or Administrator. P...
  • 4/25/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco
  • Baldwin, NY
  • Create a healthier, brighter future for pets, pet parents and people!If you want to make a real difference, create an ex...
  • 4/23/2024 12:00:00 AM

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Head of Medical Writing
  • Aerovate Therapeutics Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/21/2024 12:00:00 AM

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Veterinarian - Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Montclair, NJ
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/21/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow, Inc
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

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US Pneumococcal Adult Medical Lead, MD
  • Pfizer
  • New York, NY
  • ROLE SUMMARY Provide pneumococcal franchise leadership on behalf of Asset Medical Affairs team. * Collaborates with Bran...
  • 4/21/2024 12:00:00 AM

Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States. Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$123,125 to $150,311

Medical Policy Manager in Miami, FL
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