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)
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
Education:
ADN - Required
BSN - Preferred
Certifications: BLS, ACLS, PALS
License: RN in the state of KY