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)
Job Specifications
As part of the Electric Utility planning and policy team this position is responsible for engaging in the design and development of western energy markets ensuring Black Hills' operational and financial objectives are met. Drives the development of strategy and policy recommendations related to organized markets in the west that Black Hills Energy may consider. This position will participate in organized market stakeholder processes driving policy and decisions that are supportive of Black Hills Energy's long-term goals.
SALARY RANGE: $100,650 - $166,050 (Determined by the knowledge, skills and abilities of the applicant.)
REPORTING RELATIONSHIP: Director, Electric Strategy, Planning & Policy
LOCATION: Denver, Colorado or Rapid City, South Dakota
ESSENTIAL JOB FUNCTIONS:
ADDITIONAL RESPONSIBILITIES:
QUALIFICATIONS:
KNOWLEDGE/SKILLS/ABILITIES:
This description is not intended to be an all-inclusive list of responsibilities, duties, and requirements for employees in this position. Job descriptions may and do change periodically. Where positions are covered by a collective bargaining unit agreement, the terms and conditions of the agreement will apply.
About our Company: We are a customer, growth and safety focused utility company that is dedicated to our communities. We improve life with energy as an energy partner of choice. Our diverse culture fuels unique perspectives, opening doors to new insights and possibilities. Based in Rapid City, South Dakota, we have over 3000 employees and serve 1.3 million natural gas and electric utility customers across eight states (South Dakota, Montana, Wyoming, Colorado, Nebraska, Iowa, Kansas, and Arkansas).
Enjoy our Comprehensive Benefits Package! Annual discretionary bonuses, 401(k) (6% company match and up to 9% company retirement contribution), tuition reimbursement, generous paid time off benefits, including paid holidays and parental leave, company paid life insurance and disability benefits (short and long term), an employee assistance program and well-being benefits, and competitive medical, dental and vision insurance.
Candidates must successfully pass a pre-employment drug screen and background check.
Black Hills Energy does not sponsor applicants for work visas. All applicants must be legally authorized to work in the US.
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or status as a protected veteran. If you require reasonable accommodation, please visit for more information.
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