Medical Policy Manager jobs in North Carolina

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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ERM Policy/Program Manager
  • City National Bank
  • Charlotte, NC FULL_TIME
  • ERM POLICY/PROGRAM MANAGER

     

    WHAT IS THE OPPORTUNITY?
    This position will be responsible for supporting the development and operation of City National Bank's (CNB's) Enterprise Risk Management (ERM) policy/ program as prescribed by CNB's Risk Council. Responsibilities include project management; managing ERM processes; developing and implementing enterprise-wide policies; and facilitating the implementation and integration of risk management principles at all levels of the company.

     

    Risk Management Division
    This is a great opportunity to grow your career with a stable and expanding organization as a member of City National's Risk Management team. The focus is on ensuring business activities remain safe, compliant and well-positioned for future opportunity and sustainable growth.

     

    What you will do
    • Implement and monitor City National Bank’s Enterprise Risk Management program in accordance with current and changing standards, regulations, policies, the financial services industry environment and internal needs/demands
    • Support the Enterprise Policy Committee by utilizing the Policy Framework inventory database, communicating with policy, standard and procedure owners/contacts to develop and monitor deliverables.
    • Assist with development, communication and implementation of the new Policy Framework work flow and collaboration tool.
    • Provide program oversight by supporting ongoing monitoring of the framework with targeted inventory annual assessments and facilitation of owner annual attestations.
    • Ongoing oversight of the policy framework inventory database including reporting, maintenance, and enhancements.
    • Assist in training policy, standard and procedure owners/contacts on roles and responsibilities
    • Connect with sponsors and key stakeholders; mobilize and motivate teams; set direction and approach; resolve conflict; deliver tough messages; manage risk; execute with limited information and ambiguity.
    • Lead horizontal regulatory programs like OCC’s Heightened Standards, Resolution and Recovery planning, etc.
    • Ownership of 2 Risk programs within Risk.
    • Manage all aspects of the project lifecycle and engage business partners to oversee all phases of a project. Rigorously manage scope to ensure commitments are achieved within agreed time and parameters.
    • Develop change management, training, and communication plans and approaches necessary to execute on responsibilities. Serve as a subject matter expert in routinely briefing key stakeholders, steering committees, etc. on different aspects of assigned initiatives and driving decisions and guidance.
    • Build and Manage strong relationships with stakeholders and decision makers.
    • Provide recommendations and guidance to ERM team and business unit management to ensure new and existing frameworks, policies, and procedures are executable by ERM and business unit staff.
    • Manage a variety of non-technical projects within the Enterprise Risk Management department at varying levels of development.
    • Monitors resolution of Regulatory issues and Internal Audit findings
    • Develop and maintain master schedules and project documentation to deliver projects on time.
    • Produce status reports and is accountable for issue resolution as needed
    • Identifies, manages and communicates changes to plan across sponsors, stakeholders and governance groups.

    Must-Have*

    • Minimum 5 years of experience in financial services or risk management
    • Minimum 5 years of auditing, consulting, Enterprise Risk Management or banking experience
    • Minimum 3 years of project management experience

    Skills and Knowledge

    • Bachelor’s degree in risk, finance, mathematics, engineering or statistics or related discipline with 5-7 years of auditing, consulting, Enterprise Risk Management or banking experience
    • Previous experience in financial services industry and/or risk management.
    • Proficiency in MS Project, Excel, Word, Access, Power Point, SharePoint.
    • Strong project management capabilities.
    • Demonstrated ability to think critically and facilitate change through collaborative effort. Strong interpersonal, verbal, and written communication skills.
    • Self-motivation, discipline, task focus, the ability to structure and present work and a proven record of delivering high quality results within strict deadlines.
    • Must have the ability to multitask and prioritize several concurrent initiatives
    Compensation
    Starting base salary: $111,408 - $189,738 per year. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions.

    *To be considered for this position you must meet at least these basic qualifications
    The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.

     

    Benefits and Perks
    At City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues. Get an inside look at our Benefits and Perks.

     

    INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT
    City National Bank is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or any other basis protected by law.'

     

    ABOUT CITY NATIONAL
    We start with a basic premise: Business is personal. Since day one we've always gone further than the competition to help our clients, colleagues and community flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues to be at the heart of our company today. City National is a subsidiary of Royal Bank of Canada, one of North America’s leading diversified financial services companies.
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Policy Manager Center for Nursing Excellence
  • UNC Health
  • Chapel Hill, NC FULL_TIME
  • Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Join our Center for N...
  • 13 Days Ago

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Area Manager
  • Area Manager
  • (Statewide Opening), NC FULL_TIME
  • At CalArk, we respect what you have to offer. Our industry-leading wages and benefits ensure you always feel appreciated for what you individually bring to our team. Your talent has a home with us.
  • 6 Days Ago

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Cleaner
  • Aware Manager
  • Charlotte, NC PART_TIME,FULL_TIME
  • CleanerWe are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition.ResponsibilitiesClea...
  • 23 Days Ago

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Medical Office Manager
  • Atlantic Medical Management
  • Jacksonville, NC FULL_TIME
  • Responsibilities: Directing the day-to-day activities of the staff at the clinic, ensuring a high level of productivity. Continually monitoring the functioning of the clinic and revising operations as...
  • 5 Days Ago

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Medical Office Administrative Manager
  • Regional Medical Oncology Center
  • Wilson, NC FULL_TIME
  • Overview:We are seeking a highly organized and detail-oriented Administrative Manager to join our team. As an Administrative Manager, you will be responsible for overseeing the daily administrative op...
  • 14 Days 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

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$125,611 to $153,346

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