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)
Organization Overview
REFORM is committed to transforming probation and parole throughout the United States by changing laws, systems, and culture. The organization is working to replace America’s criminal justice system with a restorative approach that is fair, accountable and invested in rehabilitation. Our goal is for people to reenter society with dignity, create meaningful pathways to work and equip them with the tools to succeed all while making families and communities safer and stronger.
REFORM was founded in the wake of the #FreeMeek movement. The Board includes award-winning recording artist Meek Mill; Fanatics executive chairman Michael Rubin; Arnold Ventures co-founder Laura Arnold; entrepreneur and business mogul Shawn “JAY-Z” Carter; Kraft Group CEO and New England Patriots owner Robert Kraft; Galaxy Digital CEO and founder Michael E. Novogratz; Vista Equity Partners founder, chairman, CEO Robert F. Smith; Brooklyn Nets co-owner, businesswoman, investor, and philanthropist Clara Wu Tsai; and co-founder and co-CEO of the Chan Zuckerberg Initiative, Priscilla Chan. Veteran criminal justice advocate Robert Rooks leads the organization as CEO.
Purpose:
The Policy Manager in our Policy & Law Department is a valued and essential member of the Advocacy team. In this position, you will support our state and federal criminal justice reform efforts across the country. This position requires the ability to utilize analytical methods and techniques to analyze policy issues for REFORM Alliance and assist in the drafting of legislation. The Policy Manager should be comfortable with quantitative and qualitative approaches in research and be familiar with public policy issues related to criminal justice systems, especially community supervision. Strong writing and speaking skills, including the ability to synthesize complex analyses into easy-to-understand language for non-technical audiences, are required. Legal background or a graduate degree in public policy is preferred. Specifically, the selected candidate will be expected to:
Responsibilities:
Candidates will also possess:
Salary Range: $80,000-$95,000
At REFORM Alliance, we strive to move hearts and minds to create a more humane criminal justice system. This requires us to maintain a company culture that values employee individuality and community development. We are committed to fostering an environment that is inclusive, empowering and globally minded. We firmly believe that diversity in gender, race, ethnicity, sexual identity, cultural background, religion, disability and age produces ideas and perspectives that make our efforts stronger for people unjustly in the system and make our company a better place to work. Our leadership team is committed to embedding diversity and inclusion into everything we do and how we lead.