Medical Policy Manager jobs in Rhode Island

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)

I
Territory Manager
  • Impact Medical
  • Island, RI FULL_TIME
  • Territory Manager
    No healthcare experience necessary!
    Our Company
    Impact Medical is a leader in the field of Part B billing in long term care facilities across 15 states in the Midwest. We specialize in providing nursing home residents with disposable medical goods which include wound care dressings, tracheostomy, urology, colostomy, and enteral feeding supplies. Impact Medical has experienced rapid growth since our founding in April of 2014 and is looking for people to join us in our company’s next chapter of growth.

    Duties/Responsibilities
    • Develop the Rhode Island region; call on and travel to Skilled Nursing Facilities.
    • Aggressive cold calling and identifying new market opportunities.
    • Develop business plans to ensure that short-term revenue objectives are met while longer-term opportunities are optimized in the Rhode Island region.
    • Maintain and update the Company’s CRM database as appropriate.
    • Participate in company meetings and calls as appropriate; share “best practices” with peers to ensure that success is replicated across the team.
    Minimum Requirements, Abilities and Expectations
    • Demonstrated ability to develop and maintain effective ongoing relationships.
    • Strong communication (written, oral and interpersonal) and presentation skills; demonstrated experience presenting to diverse audiences including, but not limited to, employees, physicians, and decision makers.
    • Excellent judgment and decision-making capabilities.
    • Ability to work collaboratively with various internal departments and leaders; ability to drive results through partnership, mutual respect, and trust.
    • Ability to problem solve and think independently.
    • Strong planning, organizational, and time management skills.
    • Professional integrity and sense of responsibility and accountability.

    A base salary, commission and car allowance will be offered for this position.
    This position is field-based and requires frequent travel. Successful candidates must have a valid driver’s license and will be subject to DMV and other required background and reference checks.

    Benefits
    At Impact Medical we invest in our employees by offering unlimited opportunities for advancement, a full benefits package, including health, dental, vision and matching 401k, company provided disability and life insurance, competitive pay, and incentive programs.
    Impact Medical is committed to providing equal employment opportunities and will consider all qualified applicants for employment without regard to race, color, religion, sex, age, pregnancy, physical or mental disability, genetics, sexual orientation, gender identity, veteran status, national origin or any other legally protected status.
  • 1 Month Ago

S
SEASONAL POLICY INTERN
  • State of Rhode Island
  • Providence, RI INTERN
  • The State is accepting online applications for available Seasonal Policy Intern positions.A Seasonal Policy Intern assists full-time staff in various areas of office-wide systems creation, database ma...
  • 1 Day Ago

S
DEPUTY CHIEF OF STAFF/POLICY
  • State of Rhode Island
  • Providence, RI FULL_TIME
  • Class Definition GENERAL STATEMENT OF DUTIES: The Deputy Chief of Staff/Policy will partner with the Director of Administration in the oversight of the operations of the Office of the Director. The De...
  • 10 Days Ago

S
SEASONAL POLICY INTERN
  • State of Rhode Island
  • Statewide, RI INTERN
  • The State is accepting online applications for available Seasonal Policy Intern positions. A Seasonal Policy Intern assists full-time staff in various areas of environmental policy and planning, speci...
  • 2 Months Ago

U
Manager, QARC Clinical Trial / Data Management
  • UMASS Medical
  • Lincoln, RI FULL_TIME
  • POSITION SUMMARY: The Quality Assurance Review Center (QARC) is a QA and data center within UMass Chan Medical School, Department of Radiation Oncology. QARC provides Radiation Therapy and Diagnostic ...
  • 20 Days Ago

S
Guidewire Policy Center/Billing Center
  • Sonsoft Inc
  • Warwick, RI FULL_TIME
  • Company DescriptionSonsoft , Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc. is growing at a steady pace specializing in the fields of Softwa...
  • 14 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$136,832 to $167,048

Medical Policy Manager in Miami, FL
Each county may, under the Health & Safety Code, establish an Emergency Medical Care Committee (EMCC) with membership prescribed and appointed by the county board of supervisors.
January 02, 2020
Medical Policy Manager in Orange, CA
All Medical Device Licence holders or potential Medical Device Licence holders.
December 06, 2019
Medical Policy Manager in Fresno, CA
The Air Force has allowed more than 600 airmen to join its ranks despite having previously disqualifying medical conditions such as eczema and attention-deficit hyperactivity disorder, new statistics show.
December 29, 2019