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)
To be considered for this position, please upload your resume and cover letter at the link provided.
Founded in 1955, the National Association of Social Workers (NASW) is the largest membership organization of professional social workers in the world, with more than 120,000 members. NASW works to enhance the professional growth and development of its members, to create and maintain professional standards, and to advance sound social policies.
The National Association of Social Workers New Jersey Chapter (NASW-NJ) is seeking a highly skilled and experienced Policy and Legislation Manager to join our dynamic team. As the Policy and Legislation Manager, you will play a critical role in shaping and advancing our organization's policy agenda and legislative initiatives. The ideal candidate will also be required to be a legislative writer, also known as a legislative drafter, and is a professional responsible for crafting legislation, such as bills, resolutions, and amendments. Their primary role is to transform policy ideas into clear and concise legislative language that can be understood and implemented by lawmakers.
The Policy and Legislation Manager will be responsible for developing and implementing strategies, as well as providing expert guidance on legislative matters. This position requires exceptional legislative knowledge, policy analysis skills, and the ability to draft legislation to effectively advocate for social work professionals and the clients they serve.
The Policy and Legislation Manager will play a pivotal role in advancing NASW-NJ and the Association's policy and legislative agenda and providing expert guidance on ethical issues and dilemmas faced by social work professionals. This position requires exceptional knowledge of policy advocacy, legislative processes, and ethical principles in the field of social work. The Policy and Legislation Manager will be the direct report to executive director.
Job Type: Full-time
Pay: $56,000.00 - $61,000.00 per year
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Work Location: Hybrid remote in North Brunswick, NJ 08902