Policy Change Director manages all aspects of insurance policy changes according to company guidelines. Designs and implements procedures used for expediting policy changes and the calculations used to determine associated costs. Being a Policy Change Director develops, implements, and communicates policies and practices concerning policy changes and related costs. Requires a bachelor's degree. Additionally, Policy Change Director typically reports to top management. The Policy Change Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Policy Change Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Responsible for providing leadership and broad strategic direction in the area of Senior Services particularly PPO and HMO Medicare and Medicare Advantage lines of business. Responsible for corporate policy interpretation, recommendation and review within recognized area of responsibility.
"Qualifications"
Departmental Preferences / Summary:
Five (5) years of experience and in utilization review with strong understanding of CMS regulations not limited to NCD and LCD, Medicare product cycle and benefit design requirements.
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