Medical Policy Manager jobs in Kentucky

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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RN Manager - Medical/Surgical
  • Watertown Regional Medical Center
  • Winchester, KY FULL_TIME
  • Clark Regional Medical Center
    Description

    About Us

    Lifepoint Health's Central Kentucky market is comprised of four acute care, community-based hospitals, with over 50 outpatient clinics that provide comprehensive healthcare in the Bluegrass region. (Versailles, KY), (Paris, KY), (Winchester, KY), and (Georgetown, KY) are committed to our mission of making communities healthier. As an integrated network, our facilities have the ability and resources to develop opportunities for professional growth and advancement to accomplish your career goals. We take pride in personalized patient care backed by high-quality designations to support a culture of safety for both employees and patients. Get back to the heart of your community by caring for your neighbors -- join our team today!

    A Career with Us Offers:

    • Newly Adjusted Competitive Pay Rates

    • Paid Time Off (PTO)

    • Extended Illness Benefit (EIB)

    • Flexible Spending Accounts (FSA)

    • Choice of Insurance Plans (Health, Dental, Vision, Life)

    • Educational Assistance

    • Bereavement Leave

    • 401(k) Match

    • Free Parking

    Essential Functions:

    $10k sign on Bonus!

    Monday - Friday: 8am - 5pm

    Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and vision of the organization.
    Manages staff relations including performance management, staff satisfaction, and conflict management. Performs and oversees scheduling, staff development, recruitment, payroll, and student engagements.
    Monitors departmental budgets, regulatory compliance, departmental contracts, and vendor relations. Determines and justifies needs for systems/equipment/supplies purchases, monitors usage, and oversees proper working order and/or stock supplies.
    Assesses the quality of patient care delivered and coordinates patient care services with patients, staff, physicians, and other departments. May provide patient care when necessary.
    Creates and fosters an environment that encourages professional growth.
    Integrates evidence-based practices into operations and clinical protocols.

    Qualifications

    Education:

    ADN - Required

    BSN - Preferred

    Certifications: BLS, ACLS, PALS

    License: RN in the state of KY

    Job Nursing Management
    Primary Location Kentucky-Winchester
    Schedule Full-time
    Work Schedule Day shift, 7-10 hr/shift, weekdays only

     

  • 1 Month Ago

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Assistant Office Manager /Home Medical Equipment
  • Performance Medical Supply Inc
  • Lexington, KY FULL_TIME
  • Home Medical Equipment company seeking an Assistant to the Office Manager. The job location is in person in Lexington KY. We are looking for organized, dedicated, customer service-oriented candidate t...
  • 4 Days Ago

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Senior Manager – Human Resources (Remote)
  • Signode -Senior Manager – Human Resources (Remote) -Tampa
  • Louisville, KY FULL_TIME
  • Senior Manager – Human Resources (Remote) Apply Now Description/Job Summary Our Brands Protect Your BrandsSignode is a leading transit-packaging provider with a proud tradition of offering a range of ...
  • 10 Days Ago

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Engineering Manager
  • Mozarc Medical
  • Mirandola, KY FULL_TIME
  • Position Title: R&D Engineering Manager – Embedded Software A Day in the Life The R&D Embedded Software Engineering Manager in the field of dialysis technologies plays a pivotal role in shaping the fu...
  • 15 Days Ago

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Aerie - Selling Team Leader (Assistant Manager) - US
  • Selling Team Leader (Assistant Manager) - US - American Eagle Outfitters Careers
  • United States, KY FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As the full-time Selling Team Leader, you are the Store Team Leader's "go-to" in developing and implementing the business strategy and leading the daily operations ...
  • 17 Days Ago

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AE - Selling Team Leader (Assistant Manager) - US
  • Selling Team Leader (Assistant Manager) - US - American Eagle Outfitters Careers
  • United States, KY FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As the full-time Selling Team Leader, you are the Store Team Leader's "go-to" in developing and implementing the business strategy and leading the daily operations ...
  • 18 Days Ago

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Folsom, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Saratoga Springs, NY
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Orem, UT
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Fairfield, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Medical Lead - Oncology, Medical Affairs
  • SEC Life Sciences
  • One of the world's leading pharmaceutical companies is seeking four passionate, forward-thinking individuals for key rol...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco
  • Menifee, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/27/2024 12:00:00 AM

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Executive Director, Head of Medical Affairs, Immunology
  • RBW Consulting
  • Philadelphia, PA
  • A major international pharma business is looking to expands its immunology pipeline and requires a dynamic and forward t...
  • 3/25/2024 12:00:00 AM

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Head of Medical Writing
  • Morgan Prestwich - Life Science & Healthcare Executive Search
  • Company Overview Morgan Prestwich is thrilled to be representing our client on an exclusive basis. Our client is a clini...
  • 3/24/2024 12:00:00 AM

Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States. Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$122,861 to $149,992

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