Medical Policy Manager jobs in Sparks, NV

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)

T
Cornea Account Manager - Nevada
  • Trukera Medical
  • Reno, NV FULL_TIME
  • The territory for this position is Nevada and Northern California

    General Purpose:

    This is a field-based position requiring an experienced sales representative to provide customer centricity through the management and selling of osmolarity to existing Trukera customers, while also prospecting, selling and bringing onboard new business opportunities. This representative will leverage existing relationships and market knowledge, preferably in eyecare/ophthalmology, to rapidly prospect, close and support growth within high potential geographies. 

     Core Competencies:

    • Foundational Sales Knowledge: Understanding of processes necessary for a quality sales interactions.
    • Results Driven: Focus on meeting our customer’s core needs while achieving company sales objectives.
    • Entrepreneurial/Ownership Mentality: Takes ownership and responsibility.
    • Emotional Intelligence: Ability to positively respond to change.
    • Critical Thinking: Ability to Identify obstacles and develop solutions to overcome these obstacles.                
    • Team Player: Lives by company values and shares ideas/best practices for the benefit of colleagues.
    • Tenacity/Perseverance: Rebounds from setbacks and adversity when facing difficult situations.
    • Change Management: Ability to respond quickly and positively to a changing work environment.

     

    Major Duties and Responsibilities:

    • Prepare territory action plans and routing schedules to identify specific targets.
    • Follow up on new leads and referrals resulting from field activity, trade shows and website.
    • Attain territory revenue objectives by acquiring new business and driving utilization within existing customers.
    • Support the customer in post-sales activities including onboarding and integration into the practice.
    • Ensure thorough total office interaction so that the customer is educated about Trukera Medical’s support activities including Customer Care, Technical Support, and Reimbursement Support.
    • Utilize Salesforce/Hubspot reports to prepare presentations, proposals, and sales contracts.
    • Learn, understand, and verbalize clinical product knowledge.
    • Establish and maintain current and potential customer relationships.
    • Prepare paperwork to activate and maintain contracted sales activities.
    • Identify and resolve customer concerns.
    • Communicate new product and service opportunities, special developments, information, or feedback gathered through field activity to appropriate company staff.
    • Timely data completion (detailed call log, lead forecasting, etc.) and maintaining of customer information in Hubspot/CRM.
    • Participate in marketing events such as seminars, trade shows, and telemarketing events as requested.
    • Other duties as assigned.

     

    Knowledge, Skills, and Abilities:

    • Ability to persuade and influence others.
    • Ability to deliver presentations.
    • Knowledge of contracting, negotiating, and change management.
    • Work requires professional written and verbal communication and interpersonal skills.
    • Professional appearance while providing a positive company image to the public.
    • Work requires willingness to work a flexible schedule and overnight travel.
    • Excellent organizational skills and attention to detail.
    • Ability to multi-task and work under pressure.
    • Able to travel >25%.
    • High level of proficiency in the use of Microsoft Office programs (MS Outlook, MS Word, MS Excel, and MS PowerPoint), Salesforce, and Hubspot.

     

    Equipment Used:

    • Microsoft Office programs (MS Outlook, MS Teams, MS Word, MS Excel, and MS PowerPoint), Salesforce, HubSpot, as well as other web tools utilized in communicating with customers.

     

    Education Experience:        

    • Bachelors Degree.
    • >3 years of equivalent ophthalmic or other medical account management sales experience.
  • 1 Month Ago

N
LABORATORY MANAGER
  • Northern Nevada Medical Center
  • Sparks, NV FULL_TIME
  • Responsibilities: This Laboratory Manager position is benefitted @ 40 hours per week with a convenient Monday thru Friday dayshift schedule. When it comes to choosing a hospital, one thing is clear: q...
  • 1 Month Ago

F
Dialysis Program Manager RN
  • Fresenius Medical Care
  • Reno, NV FULL_TIME
  • POSITION FEATURES:Hospital based nursing leadershipPURPOSE AND SCOPE:Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company p...
  • 1 Month Ago

F
Dialysis Clinical Manager
  • Fresenius Medical Care
  • Reno, NV FULL_TIME
  • POSITION FEATURES:This role is offering up to a $10,000 sign on bonusAbout this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while ma...
  • 1 Month Ago

N
NURSE MANAGER, Med/Tele Unit
  • Northern Nevada Medical Center
  • Sparks, NV FULL_TIME
  • Responsibilities: This Nurse Manager for the Med/Tele Unit opportunity is full time at 40 hours per week, offers full benefits and a convenient day shift schedule. When it comes to choosing a hospital...
  • 1 Month Ago

N
RN Case Manager/Utilization Review, Part Time
  • Northern Nevada Medical Center
  • Sparks, NV PART_TIME
  • Responsibilities: This RN Utilization Review/Case Manager opportunity is par time at 24 hours per week, offers full benefits and a convienient day shift schedule. When it comes to choosing a hospital,...
  • 17 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Manager jobs found in Sparks, NV area

H
Remote Licensed Psychiatrist
  • Headway
  • Sparks, NV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

H
Remote Licensed Professional Counselor
  • Headway
  • Sparks, NV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

H
Remote Licensed Marriage and Family Therapist
  • Headway
  • Sparks, NV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

H
Remote Licensed Clinical Psychologist
  • Headway
  • Sparks, NV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

H
Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Sparks, NV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

H
Remote Licensed Mental Health Therapist
  • Headway
  • Sparks, NV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

H
Remote Licensed Mental Health Counselor
  • Headway
  • Sparks, NV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

H
Remote Licensed Clinical Social Worker
  • Headway
  • Sparks, NV
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

Sparks is a city in Washoe County, Nevada, United States. It was founded in 1904 and incorporated on March 15, 1905, and is located just east of Reno. The 2010 U.S. Census Bureau population count was 90,264. It is the fifth most populous city in Nevada. It is named after the late Nevada Governor John Sparks, a member of the Silver Party. Sparks is located within the Reno–Sparks metropolitan area....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$131,810 to $160,908
Sparks, Nevada area prices
were up 2.5% from a year ago

Medical Policy Manager in Casper, WY
The Medical Policy Portal offers streamlined navigation to the various types of policies available.
February 14, 2020
Medical Policy Manager in Saint Paul, MN
The expanded policy, called the Air Force Memorandum for Appearance and Accession Standards Review, gives applicants with previously disqualifying medical conditions a second chance on a case-by-case basis.
February 12, 2020
Medical Policy Manager in Atlantic City, NJ
Get the latest updates to Blue Cross NC's medical policies.
January 14, 2020