Medical Policy Manager jobs in Maine

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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Director of Finance and Accounting
  • National Academy for State Health Policy
  • Portland, ME FULL_TIME
  • NASHP’s Operations Team is seeking a director of finance and accounting to manage the organization’s accounting and finance function, prepare the annual operating budget, manage the annual financial and single audit, and support executive and programmatic decisions by analyzing financial data.

    About NASHP

    The National Academy for State Health Policy — NASHP — is a nonpartisan, nonprofit organization of, by, and for state policymakers, committed to developing and advancing health policy innovations and solutions.

    At NASHP, we engage state leaders to solve problems and share best practices, conduct policy analyses and research, leverage state expertise to develop model policies, disseminate information on state policies and programs, and provide technical assistance to states.

    We have an immediate opening for a director of finance and accounting to join our Operations Team.

    Position Overview

    Reporting to the chief operating officer (COO), the director of finance and accounting manages NASHP’s accounting and finance function, prepares the annual operating budget, manages the annual financial and single audit, and supports executive and programmatic decisions by analyzing financial data.

    This is a full-time, exempt position, based in NASHP’s Washington, DC (preferred), or Portland, Maine office. Remote candidates will also be considered.

    Core Competencies and Requirements

    • Undergraduate degree in accounting or finance; CPA preferred but not required
    • 10 years of nonprofit accounting experience, including at least 2 years at the controller level
    • Solid understanding of 2 CFR 200 Uniform Guidance
    • Solid understanding of GAAP accounting principles and practices
    • Experience developing and managing organizational operating budgets
    • Significant experience with financial management of federal and foundation grants, cooperative agreements, and contracts
    • Experience with preparing the annual NICRA package for submission and negotiation
    • Ability to learn new accounting systems (Acumatica); ability to implement a new accounting system and manage organizational change
    • Proficiency with all aspects of Microsoft Office (Word, Excel, PowerPoint, and Outlook)
    • Excellent organizational, writing, and communication skills, attention to detail, and strong analytical skills
    • Ability to balance multiple assignments, working with several policy and program managers
    • Ability to translate technical information to a non-technical audience

    Primary Responsibilities

    • Guides financial decisions by establishing, monitoring, and enforcing policies and procedures; protects assets by establishing, monitoring, and enforcing internal controls
    • Oversees accounting operations including general ledger, payables, receivables, fixed assets, net assets, accruals, cash management, allocations, bank/credit card reconciliations, and financial statement preparation
    • Partners with the COO and policy directors to develop annual operating budget and prepare monthly budget vs. actuals and forecasts/projections
    • Manages annual organizational financial audit, annual single audit, Form 990 preparation, and tax filings as required and appropriate
    • Provides status of financial condition of the organization by collecting, interpreting, and reporting key financial data; prepares board decks and management reports
    • Recommends and implements improvements/updates to NASHP’s business model, chart of accounts, financial policies/procedures, internal controls framework, cost accounting approach, allocations, and indirect pools to optimize compliance and cost recovery
    • Ensures compliance with federal, state, and local legal requirements by researching existing and new legislation and regulations, consulting with outside advisors, and filing financial reports; advises management of actions and potential risks associated with compliance issues
    • Supervises one to three team members and temporary staff

    Working at NASHP

    NASHP offers a flexible work schedule. We are currently operating in a hybrid work arrangement, with two days in the office each week. NASHP has offices in Washington, DC, and in Portland, Maine.

    Salary and Compensation

    The salary for the director of finance and accounting position ranges from $120,000 to $150,000. Your salary will be commensurate with your experience.

    NASHP offers exceptional employee benefits that include:

    • A 35-hour work week
    • Generous paid time off, including a sabbatical benefit
    • Comprehensive health, dental, and vision coverage
    • A generous retirement plan
    • Life insurance
    • Short- and long-term disability coverage
    • A paid parental leave benefit
    • Tuition reimbursement
    • Transportation stipend

    To Apply

    Interested candidates are invited to submit a resume and cover letter describing their interest in the position and in our organization to search@nashp.org. Please put “Director of Finance and Accounting” in the subject line.

    NASHP is an Equal Opportunity Employer, providing opportunities to all employees and applicants without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, military or veteran status, in accordance with all applicable laws. We do not tolerate discrimination or harassment and are committed to building a diverse workforce and leadership team. All people are encouraged and welcome to apply.

  • 1 Month Ago

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Breakfast Server
  • Residential Community Manager
  • Portland, ME PART_TIME
  • Calling all Restaurant Rockstars! The Hilton Garden Inn Portland Airport is now hiring for a Breakfast Server Part Time. Must be detail oriented, able to work on own and in a team, and must have good ...
  • 8 Days Ago

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Policy Specialist
  • Public Consulting Group
  • Augusta, ME OTHER
  • Overview Policy Specialist - Division of Licensing & Certification in Augusta, ME Staffing Solutions Organization LLC (SSO), an affiliate company of Public Consulting Group LLC, is focused on delighti...
  • 22 Days Ago

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Policy Fellow
  • ACLU - Affiliate Offices
  • Portland, ME FULL_TIME
  • ABOUT THE ACLU OF MAINE We are the Maine affiliate of the American Civil Liberties Union. We fight for equality, justice, and freedom for all people in Maine in the statehouse, in the courthouse, and ...
  • 1 Month Ago

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Policy Coordinator-Operational Transformation
  • MaineHealth
  • Saco, ME FULL_TIME
  • Summary Position Summary ***This position can be remote but must have willingness to travel to Portland, Maine based on business needs*** Promotes ongoing effective organizational process related to p...
  • 15 Days Ago

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Policy Associate I
  • University of Maine
  • Portland, ME FULL_TIME
  • Position Title: Policy Associate I: Child Welfare Campus: Portland City, State: Portland ME Department: Catherine E. Cutler Institute - PMCCI Bargaining Unit: UMPSA Salary Band/Wage Band: SECCP Work S...
  • 17 Days Ago

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Head of Medical Writing
  • Proclinical Staffing
  • Head of Medical Writing - Permanent - Onsite Proclinical is seeking a Head of Medical Writing to join a cutting-edge bio...
  • 4/22/2024 12:00:00 AM

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Vice President, Head of Medical Affairs / Oncology
  • Nuvalent Inc.
  • Cambridge, MA
  • The Company: With deep expertise in chemistry, Nuvalent is working to create selective medicines designed with the goal ...
  • 4/22/2024 12:00:00 AM

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Head of Medical Writing
  • Aerovate Therapeutics Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/21/2024 12:00:00 AM

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Veterinarian - Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Montclair, NJ
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/21/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow, Inc
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

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Head of Medical Writing
  • Aerovate Therapeutics, Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/20/2024 12:00:00 AM

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Assistant-Certified Medical Lead
  • Baptist Memorial
  • Memphis, TN
  • Summary Provides personal care assistance to patients under the direction of licensed personnel and /or Administrator. P...
  • 4/20/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$127,312 to $155,423

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