Medical Policy Manager jobs in Tennessee

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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Attorney - In-House/Litigation (Remote)
  • Firearms Policy Coalition
  • Nashville, TN OTHER
  • This is not a mere job post for another corporate role. This is an opportunity to join an impactful team of freedom fighters and change the course of history. This is a mission, a calling. This is about fighting tyranny and working to create a world of maximal human liberty for your family, friends, neighbors, and your children's children. Apply only if you have the integrity, tenacity, humility, commitment, and skill to take on this sacred responsibility and deliver extraordinary results—even, and especially, when it's hard.


    ORGANIZATION: FPC Action Foundation

    ROLE: Attorney - In-House/Litigation

    REPORTS TO: General Counsel / Vice President

    LOCATION: Remote* (See "Remote Work Note," below)

    COMPENSATION: Starting at $100,000 - 125,000 per year, DOE

    TYPE: Full-Time; Exempt


    What we're looking for

    • A genuinely excellent human being who lives our values and loves our mission 
    • A high-drive attorney with 3-5 or more years of federal trial litigation (or comparable) experience who wants to use their legal skills, passion, and work ethic to help us change the world
    • Someone who cares more about the case and the work than about being first chair
    • A team player with high integrity and high competence
    • Crisp, clear, and direct writing ability, reflecting sound legal analysis
    • A tenacious, resourceful, highly competitive spirit that hates to lose more than they like to win
    • A self-disciplined researcher and fast learner who can get up to speed and add value quickly
    • A good attitude and a willingness to adapt, take on challenges, learn, and grow
    • Excellent writing, argument framing, communication, and organization skills
    • Judicial clerkship experience preferred
    • Someone with a good sense of humor that we enjoy working with -- and that enjoys working with us as part of a team


    What you’ll do

    • Conduct legal and historical research relating to current and potential litigation, strategic planning, etc.
    • Coordinate with outside counsel, clients, and other stakeholders regarding current and potential litigation
    • Assess requests for legal assistance and investigate complaints about rights violations
    • Conduct intakes and client candidate screening
    • Develop, conduct, and participate in litigation (i.e., drafting pleadings, motions, and briefs, conducting discovery, participating in oral arguments, etc.) based on the Organization’s goals in federal and state courts
    • Engage in advocacy work to advance individual liberty and the Organization’s objectives through non-litigation means (e.g., regulatory comments, public speaking, public events and education efforts)
    • Actively promote the Organization’s programs and values through written works, videos, radio/television, and other media
    • Help supervise volunteers, legal fellows, and support staff
    • Represent the Organization in a positive, professional manner 
    • Perform other duties and manage projects as assigned


    Who we are

    • FPC Action Foundation (FPCAF) is a high-impact 501(c)3 advocacy organization that fights forward to create a world of maximal individual liberty
    • We have an important purpose, clear mission, strong values, and transparent core beliefs
    • We operate FPC Law (FPCLaw.org), the nation’s preeminent public interest legal program focused on the right to keep and bear arms, and the leader in the Second Amendment litigation and research space


    How to apply

    Candidates should provide:

    • A cover letter explaining why you want to join our team and why we should hire you
    • A complete, up-to-date resume
    • Representative work products showing your capabilities (public/non-privileged records only)
    • At least 3 personal and 3 professional references


    Benefits

    We offer competitive compensation as well as an excellent benefits package including:

    • Generous paid time off
    • Paid holidays
    • Medical, dental, and vision insurance (99% employer paid)
    • Employer HSA contribution of $100 per month (with a qualified health plan)
    • 401(k) retirement savings plan with 100% to 5% match
    • 100% employer-paid life insurance
    • 100% employer-paid short-term and long-term disability insurance
    • Opportunities to develop skills and further your career while working to change the course of history


    Preferences

    • A good sense of humor
    • Judicial clerkship experience
    • Substantive knowledge of American history, constitutional law, civil liberties, and major related precedents
    • Experience with 42 U.S.C. Section 1983 actions, Bivens actions, or Administrative Procedure Act actions
    • Experience with remote work in a distributed team across U.S. time zones


    Requirements

    • Be at least 21 years old and legally eligible to work in the U.S.
    • Be a genuinely excellent human being who lives our values, loves our mission, hates to lose, and wants to make our enemies cry harder
    • Have alignment with and support for FPCAF's purpose, core beliefs, current mission, and brand
    • Be an excellent communicator, efficient researcher, and able to read, write, and speak fluent English
    • Have a law degree from a U.S. accredited law school and admission to a state bar (good standing; no past disciplinary actions in any bar)
    • Have at least 3 years of federal civil litigation experience
    • Have the ability to contribute to developing high-impact strategy that considers sequence, framing of arguments, forum and venue, likely outcomes, and appellate paths
    • Have the ability to litigate collaboratively, juggle multiple projects at once, be decisive, and exercise good judgment under stressful situations
    • Have the ability to write legal and other documents clearly, accurately, and concisely, reflecting sound legal analysis
    • Have a passion for fighting for liberty and limiting the size and scope of government
    • Have a positive, team-first attitude, high drive, curiosity, and commitment to meeting goals on time
    • Have exceptional organization and follow-through
    • Have emotional maturity and the ability to successfully work with strong personalities 
    • Be proficient in Apple computers, software (word processing, spreadsheets, file storage and sharing programs, etc.), legal research tools (Westlaw, Lexis, etc.), case management software (Clio, MyCase, etc.), PACER and CM/ECF, video conferencing platforms, and asynchronous and synchronous collaboration/communication tools
    • Have the ability to legally acquire and possess firearms, including handguns, and must be comfortable and safe around firearms and shooting ranges
    • Have a valid driver's license with no more than one (1) chargeable moving violation or accidents within the last three (3) years, and provide proof of same, as well as a reliable vehicle and proof of insurance
    • Have the ability to travel within the United States as required or directed


    Our Core Beliefs

    We believe that the People’s access to and exercise of natural rights, including that to personal property, are necessary to achieve and maintain a free world. To that end:

    • We believe that natural rights are not granted by governments, a byproduct of majority consensus or majoritarian process, or mere privileges conferred by any government, group, or creation of man. 
    • We believe that natural rights include but are not limited to the rights to self-defense and use of just force against unjust force; acquiring, possessing, training with, carrying, and using arms for moral and just purposes; free speech; association; protest; privacy; due process; equal protection of the laws; private property; and free markets.
    • We believe that how a government or society regulates the right to keep and bear arms is a strong and likely leading indicator of how that government or society does or will approach regulation of other natural rights and personal property.
    • We believe that well-armed people make tyranny at scale significantly more costly.
    • We believe that liberty is correlated with access to innovation and technology, including but not limited to that of arms, speech, and encryption.
    • We believe that it is immoral to unjustly use force to take the life, liberty, or property of others.
    • We believe that we must eliminate coercion and immoral laws, policies, regulations, customs, and enforcement practices in order to fulfill our Purpose.


    Our Values

    • We operate with integrity according to our Core Beliefs and the Firearms Policy Ethic
    • We deliver value by consistently meeting expectations on time
    • We take ownership of and responsibility for our decisions, actions, and outcomes
    • We communicate—up, down, and across—without needing to be asked
    • We overcome challenges and achieve objectives with tenacity and grit
    • We learn from failures, mistakes, criticism, feedback, and success


    * Remote Work Note: Work location is flexible if approved by the Organization. This position may not be based in or performed remotely from Alaska, Colorado, Connecticut, Delaware, Hawaii, Illinois, Maryland, Massachusetts, New Jersey, New Mexico, New York, or Rhode Island. 


    FPC Action Foundation is an equal opportunity employer.

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Medical Surgical Manager
  • TriStar Summit Medical Center
  • Hermitage, TN FULL_TIME
  • Introduction Managers thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and th...
  • 9 Days Ago

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Manager Medical Surgical
  • TriStar Southern Hills Medical Center
  • Nashville, TN FULL_TIME
  • Introduction We are seeking a Medical/Surgical Manager with TriStar Southern Hills Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improv...
  • 22 Days Ago

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Site Manager - Summit Medical Group of Cookeville
  • Summit Medical Group
  • Cookeville, TN FULL_TIME
  • Responsibilities About Our Career Opportunity Summit Medical Group of Cookeville is seeking a Site Manager to manage the daily operations for the site. The successful candidate will have strong busine...
  • 5 Days Ago

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Manager - Medical Staffing & Credentialing, FT, Days
  • North Knoxville Medical Center
  • Knoxville, TN FULL_TIME
  • Responsible for monitoring the verification process for medical staff incumbents. Completes physician, nurse and other employee verifications and ensures that the organization and staff are in accorda...
  • 26 Days Ago

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Bar Manager / Mixologist - The Underground Cocktail Club Nashville
  • Bar Manager / Mixologist – The Underground Cocktail Club Nashville
  • Nashville, TN FULL_TIME
  • Bar Manager / Mixologist – The Underground Cocktail Club Nashville The Underground Cocktail Club Is Coming to Nashville! The Underground Cocktail Club Nashville is at the fore front of an evolving foo...
  • 1 Month Ago

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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 ...
  • 4/15/2024 12:00:00 AM

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Senior Director, Global Pharmacovigilance & Risk Management Head of Medical Safety
  • Vir Biotechnology, Inc.
  • Vir Biotechnology, Inc. is an immunology company focused on combining cutting-edge technologies to treat and prevent inf...
  • 4/15/2024 12:00:00 AM

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Medical Management Specialist - Looking for RN, LPC, OR LMSW
  • Innovative Systems Group
  • Chicago, IL
  • Job Description Job Description JOB PURPOSE: This position is responsible for conducting medical management and health e...
  • 4/15/2024 12:00:00 AM

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Regional Medical Lead - West
  • HeartFlow
  • Dallas, TX
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/14/2024 12:00:00 AM

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Adjunct faculty - Master of Medical Management program
  • Carnegie Mellon University
  • Pittsburgh, PA
  • ** Location** Pittsburgh, PA ** Description** The cyber security component of the Digital Transformation class requires ...
  • 4/14/2024 12:00:00 AM

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Medical Director, Medical Management
  • Imperial Health Plan of California, Inc.
  • Pasadena, CA
  • People are the most important asset of Imperial, for this reason the difference and plurality of people, equality of opp...
  • 4/13/2024 12:00:00 AM

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Executive Director, Head of Medical Affairs, Immunology
  • Rbw Consulting
  • Philadelphia, PA
  • A major international pharma business is looking to expands its immunology pipeline and requires a dynamic and forward t...
  • 4/11/2024 12:00:00 AM

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Medical Management Services Manager - RN Required (on-site)
  • CalViva Health
  • Fresno, CA
  • Job Description Job Description POSITION SUMMARY: This position is responsible for oversight and management of CalViva H...
  • 4/11/2024 12:00:00 AM

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$121,163 to $147,915

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.
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Medical Policy Manager in Orange, CA
All Medical Device Licence holders or potential Medical Device Licence holders.
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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.
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