Medical Policy Manager jobs in Youngstown, OH
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)
Recently Added Medical Policy Manager jobs
- Meridian HealthCare
-
Youngstown, OH
FULL_TIME
-
Due to continued growth, Meridian HealthCare is searching for an energetic, detailed-oriented Medical Manager.
ABOUT MERIDIAN HEALTHCARE
Meridian HealthCare is a nonprofit 501(c)(3), integrated behavioral and primary healthcare organization with 50 years of high-quality service delivery in the Mahoning Valley.
Since 1974, Meridian's mission has been to eliminate addiction by working with individuals and their families through recognition, prevention, consultation, healthcare, communication, support, and treatment, utilizing a person-centered approach that respects the dignity of every individual.
In addition to offering a comprehensive approach to addiction (that includes prevention, treatment, recovery support, housing, criminal justice services and much more), we are also a trusted source for primary care, mental health services, chiropractic care and acupuncture.
We believe our strength comes from the relationships we establish with each other. That is why in addition to great pay and benefits, we strive to create a supportive and innovative environment for our employees to work in! If this job in the Drug & Alcohol treatment field sounds like the right opportunity for you, apply today!
A DAY IN THE LIFE OF A MEDICAL MANAGER
- Collaborates on the development of provider and staff schedules
- Collaborates with Behavioral Health management team to ensure integration and person-centered care
- Oversees Opioid Treatment Program medical operations and compliance
- Oversees the delivery of behavioral health/nursing services in a positive, empathetic, and professional attitude at all times
- Provides ongoing supervision and assistance to medical staff
- Collaborate on overall medical operations and activities
- Assists in the implementation of new procedures and workflows through staff education and demonstration
- Collaborates with compliance team on audits and data collection as instructed
- Assist with policy and procedure compliance, coordination of staff meetings, trainings, and continued education
- Performs medical procedures as needed
- Assist leadership with directing, planning, coordinating, monitoring and supervising the effective and efficient use of the operations of medical staff by department
- Provides organizational support to ensure compliance with Joint Commission requirements, medical standards, quality programming etc.
- Take "on call" on rotating basis, work the floor and cover shifts when needed
- Work with management team to improve the quality of patient care provided by the team
- Ensures cleanliness and professionalism of facility
QUALIFICATIONS FOR A MEDICAL MANAGER
- LPN or RN
- Strong Customer service skills and supervisory experience preferred
- Electronic Health Records experience required
- Experience in Primary Care and/or Behavioral Health fields preferred.
ARE YOU READY TO JOIN OUR TEAM?
If you feel that you would be right for this job, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!
- 5 Days Ago
- UPMC
-
Seneca, PA
FULL_TIME
- UPMC Hillman Cancer Center is currently hiring a Practice Manager to support our Medical Oncology Department located at the Hillman Cancer Center in Seneca, PA. This position will be responsible for d...
- 16 Days Ago
- Zoll Medical Corporation
-
Youngstown, OH
FULL_TIME
- Associate Territory Manager - Youngstown Location: Placeholder, OH, United States of America Cardiac Management Solutions The Cardiac Management Solutions division of ZOLL Medical Corporation develops...
- 6 Days Ago
- Salem Regional Medical Center
-
Salem, OH
FULL_TIME
- SRMC Has an Exciting Opportunity for Qualified Candidates! Position: Part Time RN or LSW Case Manager Department: Case Management Shift: Days PURPOSE The primary purpose of your job position as the...
- 10 Days Ago
- Fresenius Medical Care
-
North Lima, OH
FULL_TIME
- PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirement...
- 1 Month Ago
- iLocatum
-
Cranberry, PA
FULL_TIME
- Business Development Manager – Medical Do you excel at developing and maintaining strong customer relationships? Are you a strategic thinker ready to leverage your medical industry experience? If so, ...
- 1 Month Ago
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0 Medical Policy Manager jobs found in Youngstown, OH area
- Headway
-
Youngstown, OH
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/30/2024 12:00:00 AM
- Headway
-
Youngstown, OH
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/30/2024 12:00:00 AM
- Headway
-
Youngstown, OH
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/30/2024 12:00:00 AM
- Headway
-
Youngstown, OH
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/30/2024 12:00:00 AM
- Headway
-
Youngstown, OH
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/30/2024 12:00:00 AM
- Headway
-
Youngstown, OH
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/30/2024 12:00:00 AM
- Headway
-
Youngstown, OH
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/30/2024 12:00:00 AM
- Headway
-
Youngstown, OH
- Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
- 4/30/2024 12:00:00 AM
About Youngstown, Ohio
were up 1.3% from a year ago