Medical Policy Manager jobs in Washington

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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POLICY MANAGER
  • SEATTLE INDIAN HEALTH BOARD
  • Seattle, WA OTHER
  • Job Details

    Job Location:    International District - Seattle, WA
    Position Type:    Full-Time
    Education Level:    Bachelor's Degree
    Salary Range:    $70.00 - $80.00 Salary/year
    Job Shift:    Day
    Job Category:    Nonprofit - Social Services

    Description

    SIHB Core Competencies

    Core Competencies are foundational commitments and skills that all SIHB staff are expected to develop. These competencies define common measures for performance that are applied to every role in the organization.

    • Commitment to Indigenous and Organizational Values: Everything we do at SIHB is centered on Traditional Indian Medicine. It is our responsibility to maintain cultural integrity in all that we do.

    • Accountability: All employees of SIHB effectively manage their own work and the work of their teams. We take ownership of our actions and decisions. We all strive to deliver the highest quality work and care, while respecting our teammates and relatives.

    • Collaboration: SIHB is a team-oriented organization. As team members, we share the responsibility of working toward a common purpose. We collaborate with our colleagues across the organization to deliver the highest quality of care and results in alignment with our mission, vision, values and Theory of Change.

    • Communication: We practice effective and clear communication with staff, relatives, teams and community. We demonstrate empathy among each other and with those we serve, and transparency in our decision making.

    • Customer Service Orientation: All employees of SIHB recognize the needs of the diverse community we serve. We put the needs of our relatives first by delivering the highest quality, professional, responsive, and innovative care. Our relatives come first and deserve the best.

    Position Summary: Under the supervision of the Policy Director, the Government Affairs Manager manages public policy and advocacy projects that impact the health and well-being of urban American Indian and Alaska Native people and accomplishes department objectives by managing staff. Responsibilities include staff supervision, collaborative project development, and coordination of policy and advocacy projects ranging from healthcare and public health systems to the social determinants of health among urban Indian communities. This may include management of departmental projects/events, policy monitoring, external communications, and grant reporting. The Government Affairs Manager will coordinate with the Policy Director to manage departmental policy research and analysis, support internal working groups, or serve as a point of contact to tribal, community, and government partners at the local to national level.

    Organizational Structure/Reporting Relationships: This position reports directly to the Policy Director and is part of the Public Affairs Department. This position supervises Policy Associates and the Health Policy Analyst.

    Organizational Responsibilities:

    • Hold Indigenous values and practices with respect and integrity

    • Hold yourself accountable to the highest standard by being resourceful, innovative, creative and solutions-oriented

    • Actively participate in organizational activities with the understanding that success is achieved through teamwork.

    • Recognize that communication is central to the organization’s success and actively champion your words and actions to maintain respect for others, encourage constructive feedback, be open to share laughter and acknowledge differences in skills and opinions, all while keeping others’ best intentions in mind.

    • At SIHB, we refer to our customers as Relatives. Our Relatives come first and deserve the best. Serve the needs of our Relatives first by delivering the highest quality, professional, responsive and innovative care.

    Job Responsibilities :

    • Manage departmental policy research and analysis on urban American Indian and Alaska Native health policy issues including healthcare systems, public health, and social determinants of health;

    • Supervise a team of Policy Associates, including supporting professional growth opportunities and clearly communicating roles and responsibilities;

    • Support and coordinate hiring and onboarding of departmental staff;

    • Support departmental grants management including budgeting and reporting.

    • Oversee and provide coordination for scheduling, preparation, and follow-up for outreach and education activities with tribal, government, and community partners;

    • Develop direction and messaging for content for policy newsletters, website, and other media;

    • Maintain electronic files and records, databases, and/or computer tracking systems for project documentation and monitoring;

    • Coordinate policy monitoring of local, state, and federal legislative and administrative bodies and political landscapes;

    • Manage the development of talking points, memos, and reports;

    • Draft original content for policy reports, letters, public testimony, etc;

    • Review analytical and narrative documents for accuracy and completeness;

    • Manage policy and advocacy events and trainings in support of the department and Seattle Indian Health Board;

    • Represent the Seattle Indian Health Board at assigned workgroups/committees and make oral presentations utilizing displays and other audio-visual aids as necessary;

    • Maintain accurate written records and prepare clear concise written documents;

    • Communicate effectively and professionally, both orally and in writing;

    • Work effectively and efficiently with internal staff, partner organizations, vendors, and contractors; and

    • Other job-duties as assigned.

    Qualifications


    Background Qualifications

    Required:

    • Minimum of four years of work experience in public policy, political science, public administration, public health or a closely related field OR;

    • Bachelors education in public policy, public administration, public health, or a closely related field provided that the applicant has demonstrated experience in relevant skills;

    • Successfully pass a background check.


    Preferred:

    • Direct experience working with American Indian and Alaska Native people and communities;

    • Knowledge of health and social issues facing American Indian and Alaska Native people;

    • Demonstrate understanding of structural inequality;

    • Knowledge of equity-based frameworks;

    • Knowledge and understanding of social determinants of health;

    • Public policy, research, and evaluation theory and practice;

    • Project management processes;

    • Policy analysis and research theory and practice;

    • Legislative and administrative processes;

    • Legislative and administrative advocacy strategies and processes;

    • Establish and maintain effective working relationships with supervisors, colleagues, public officials, representatives of other agencies and organizations, community members and clients;

    • Work well under pressure, meet multiple and often competing deadlines;

    • Demonstrate excellent communication and networking skills, including public speaking, writing, group facilitation, and communicating cross-culturally with diverse partners, and interacting with people of all ages and cultural backgrounds; and

    • Proficiently use software programs such as Microsoft Outlook, Word, Excel, and PowerPoint and ability to learn new software for client management services, scheduling, and financial management.

    Work Environment: Office hours are 7am-6pm, Monday through Friday with one coordinated day off. Overtime may be required for policy events or to meet department deadlines.

    FOR INFORMATION ABOUT OUR BENEFITS PACKAGE, PLEASE VISIT OUR WEBSITE AT:https://www.sihb.org/wp-content/uploads/SIHB-Summary-of-Benefits.pdf

  • 17 Days Ago

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Policy Manager, Alexa Content Policy
  • Amazon.com Services LLC
  • Seattle, WA FULL_TIME
  • 4 years of compliance program management, legal, governance, audit, risk/loss prevention, or equivalent experience Bachelor's degree or equivalent Experience handling confidential information Interest...
  • 20 Days Ago

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Policy Manager, Alexa Content Policy
  • Amazon
  • Seattle, WA FULL_TIME
  • BASIC QUALIFICATIONS- 4 years of compliance program management, legal, governance, audit, risk/loss prevention, or equivalent experience- Bachelor's degree or equivalent- Experience handling confident...
  • 20 Days Ago

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Sr. Policy Manager, Alexa Privacy (Content Policy)
  • Amazon
  • Seattle, WA FULL_TIME
  • DESCRIPTIONInterested in the power of virtual assistants such as Amazon Alexa? Are you excited by the challenge and sense of ownership that comes from leading projects at Amazonian scale? Do you enjoy...
  • 19 Days Ago

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Quality Program Manager -Policy
  • Deaconess Hospital
  • Spokane, WA FULL_TIME
  • You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities fo...
  • Just Posted

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Manager Coding Policy *Remote
  • Providence Health
  • Washington, WA FULL_TIME
  • Description Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitme...
  • 11 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 ...
  • 4/26/2024 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...
  • 4/26/2024 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 #...
  • 4/26/2024 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...
  • 4/26/2024 12:00:00 AM

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Medical Director, Medical Management
  • Imperial Health Plan Of California Inc.
  • Pasadena, CA
  • People are the most important asset of Imperialfor this reason the difference and plurality of people, equality of oppor...
  • 4/26/2024 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 ...
  • 4/25/2024 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

Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$141,051 to $172,195

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