Medical Policy Manager jobs in South 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 2020 Salary.com)

T
RN - Behavioral Health and Utilization Management (003MV1)
  • Techlink Systems
  • North Charleston, SC
  • The CCR will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer requests to the Medical Director when indicated. CCRs are ...
  • 10 hours ago

M
RN Hospice
  • MAXIM HEALTHCARE GROUP
  • Orangeburg, SC
  • ... management of patient care. Responsibilities * Utilizes the nursing process to assess, plan ... Monitors consistency between patient plan of care and actions of medical staff. * Performs ...
  • 13 hours ago

T
Behavioral Health Clinical Care Reviewer (LCSW)
  • Total Medical Staffing
  • North Charleston, SC
  • The CCR will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer requests to the Medical Director when indicated. * CCRs ...
  • 18 hours ago

G
Restaurant General Manager - Quick Hire
  • Gecko Hospitality
  • Greenville, SC
  • ... forth by policy and procedural guidelines. A Professional General Manager will have strong ... · Medical, Dental and Vision insurance · Paid time off · Unlimited growth potential ...
  • yesterday

E
Construction Project Manager
  • Empire
  • Greenville, SC
  • ... medical, dental, and vision coverage along with a strong teamwork environment. The ideal Project ... Overall responsibility for implementing Empire policies and procedures * Overall responsibility to ...
  • yesterday

E
Construction Project Manager
  • Empire
  • Rock Hill, SC
  • ... medical, dental, and vision coverage along with a strong teamwork environment. The ideal Project ... Overall responsibility for implementing Empire policies and procedures * Overall responsibility to ...
  • yesterday

P
Automotive Parts - Sales Manager
  • Pull-A-Part, LLC
  • Columbia, SC
  • This retail sales manager position offers excellent medical, dental, and vision benefits, paid ... Implement and maintain company policies and standards * Maintain environmental, health, and safety ...
  • 2 days ago

A
Physician Occupational Medicine
  • AnovaWorks, PLLC
  • Charleston, SC
  • Advises non medical management on clinical and patient related matters and policies. * Approves policies developed within various sub-functions and departments. ​Qualifications: * Licensed MD, with ...
  • 3 days ago

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$110,658 to $135,117

Medical Policy Manager in Watertown, MA
Manage, develop, coach and retain high-performing staff.
January 31, 2020
Provide subject matter expertise on CAM projects and wide corporate strategy initiatives.
January 17, 2020
Represent Department across the organization and externally as appropriate.
December 20, 2019