Medical Policy Manager jobs in Utah

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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Health Policy Analyst
  • Utah Health Policy Project
  • West Valley, UT FULL_TIME
  • Position: Health Policy Analyst

    Utah Health Policy Project (UHPP) is a nonpartisan, 501c(3) nonprofit organization advancing sustainable health care solutions for underserved Utahns through better access, education and public policy. UHPP is an equal opportunity employer.
    Job Description: UHPP’s Health Policy Analyst (HPA) serves as a lead consumer advocate for health care reform in Utah. HPA is responsible for analyzing health policy initiatives, writing position statements, collaborating with partners and state leaders, and other activities related to the goal of promoting effective implementation of health reform and other health system changes. The HPA will conduct a wide range of health policy research and compose related policy papers/statements. The HPA will advocate for and serve as a public representative for UHPP on health care policy objectives; this includes but is not limited to working with government officials, media reporters, patients, community groups, and other stakeholders and members of the public. The HPA will further assist with organizational development needs, including work on grants and fundraising events. The HPA will also perform other duties as assigned.

    Qualifications:

    Education: Bachelor’s Degree; Master’s Degree and/or related work experience strongly preferred
    Effective Communication: Communicate verbally and in writing in a clear, thorough, and timely manner; comfortable speaking in public settings
    Adaptability: Demonstrate a willingness to learn quickly and adapt to changing policy and political environments; while maintaining effectiveness and attention to detail; ability to make timely decisions and recommendations
    Relationship Building: Positive mindset and ability to maintain strong working relationships with coworkers, community members, partners, policymakers, government officials, staff, and other stakeholders regardless of policy position or political affiliation
    Background Knowledge: Must be knowledgeable about state and federal health policy, especially Medicaid, COVID-19, and other timely issues
    Experience: Must have experience with the legislative process, research and writing, project planning, and work experience in a nonprofit or government organization; social media experience preferred
    Self-Starter/Problem Solving: Must have a desire to work independently and ability to organize and prioritize multiple projects; ability self-manage tasks and deliverables - meeting deadlines without prompting

    Salary and Benefits:

    Salary range is $55,000 to $58,000 annually with generous performance bonus structure, 15 vacation days, 8 sick days, 13 holidays, 3 paid floating holidays, Simple IRA with employer match, Health Care Offset Payment, Life Insurance, Vision and Dental Insurance, Employee Assistance Program

    HPA position is Exempt and Employee at Will

    *Email resume, cover letter, and short writing sample. Interviewing and hiring will be done on a rolling basis so applicants are encouraged to apply ASAP.

    Job Type: Full-time

    Pay: $55,000.00 - $58,000.00 per year

    Benefits:

    • Dental insurance
    • Life insurance
    • Paid time off
    • Professional development assistance
    • Vision insurance

    Schedule:

    • 8 hour shift

    Work Location: In person

  • 15 Days Ago

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Team member
  • Seasons Utah Manager LLC
  • West Valley, UT FULL_TIME
  • Compensation : $13.00 - $15.00 / hour Jack in the Box : Team Member - Cashier Our food isn’t the only thing that should make you happy. Whether you’re learning the finer points of customer service as ...
  • Just Posted

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Patient Care Advocate
  • Oakland Manager LLC
  • Saint George, UT FULL_TIME
  • Summary The Patient Care Associate (PCA) is responsible for delivering an exceptional customer experience. This role ensures all sales are compliant with state regulations and that customer needs are ...
  • 10 Days Ago

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Security I
  • Oakland Manager LLC
  • Saint George, UT FULL_TIME
  • Security Guards wanted to work for a professional industry leading company. Applicants may be assigned to a single or multiple site assignment. Applicants will need to be flexible with their schedule ...
  • 27 Days Ago

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Armed Security Officer
  • Oakland Manager LLC dba Justice Grown
  • St. George, UT FULL_TIME
  • Bloc is seeking ambitious, positive individuals for our Security Team who are excited about the cannabis plant, understand its history and therapeutic qualities, and are passionate about providing exc...
  • 10 Days Ago

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Policy Auditing Clerk
  • Security National Life Insurance Company
  • Murray, UT FULL_TIME
  • DescriptionSecurity National has been in the insurance and funeral industry for over 50 years. Security National's strength and success are the strong roots that enable the company to flourish, meetin...
  • 7 Days 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 ...
  • 4/25/2024 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...
  • 4/25/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco
  • Baldwin, NY
  • Create a healthier, brighter future for pets, pet parents and people!If you want to make a real difference, create an ex...
  • 4/23/2024 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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US Pneumococcal Adult Medical Lead, MD
  • Pfizer
  • New York, NY
  • ROLE SUMMARY Provide pneumococcal franchise leadership on behalf of Asset Medical Affairs team. * Collaborates with Bran...
  • 4/21/2024 12:00:00 AM

Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau. Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$124,434 to $151,909

Medical Policy Manager in Miami, FL
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