Medical Policy Specialist jobs in Connecticut

Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Grant Policy Specialist - WOB
  • 508 Witt O'Brien's Payroll Management LLC
  • Connecticut, CT FULL_TIME
  • Are you looking for an opportunity to join a team that makes a real difference? Do you want to be part of a collaborative team that protects and strengthens communities and businesses? If you are looking for all these opportunities and more, then Witt O’Brien’s is the right fit for you. Position Summary The Grants Policy Specialist will assist with federal, state, and local government financial assistance regulation, policy, and guidance. The Grants Policy Specialist will support state and local recipients in adopting and complying with financial assistance regulation, policy, and regulation to improve the overall grant related business processes. Position Details Reports to: Associate Managing Director Location: Remote Position Type: On-Call FLSA Status: Exempt Pay: Hourly Compensation: Commensurate with experience Travel: None Essential Job Functions Analyze laws, regulations, executive orders, and other government-wide guidance. Advise federal, state, and local government policy staff on opportunities for innovation, areas of risk and risk mitigation, and strategic direction. Support federal, state, and local government staff managing policy development on areas that policy or guidance may be improved to best serve stakeholder communities. Support implementation of relevant laws and regulations, as well as the development of regulations, policies, and other guidance, including drafting and editing content. Review content and conduct quality control/assurance. Provide advice and applied support to promote content accessibility, sustainability, and durability over time, including contemporary methods of publishing. Track edits, updates, and comments across multiple reviews of iterative content versions. Ensure content achieves a consistent look, feel, flow and voice; is free from typographical and grammatical errors; and complies with government standards, including plain language guidelines. Minimum Job Requirements Minimum 2-3 years’ experience in grants management, grant writing, policy analysis or related experience. Bachelor’s degree preferably in business, public policy or public administration (or equivalent work experience). Knowledge of grants process, regulations, and policies. Experience developing and analyzing grant policies for the federal government, a state or local government, a national organization, or a similar entity. Experience and expertise in writing complex technical components of legislation, regulations, or other policy. Experience with business process reviews and improvements. Experience presenting information to an array of audiences. Strong analytical skills. Expertise in the use of Microsoft Excel and Word. Ability to analyze, summarize, and compile data and information. Ability to perform detail-oriented work. Ability to lead and collaborate with staff from a variety of backgrounds and skill sets, and to work in a team to improve processes or systems. Strong oral and written communication techniques, including in response to requests either internally or externally. Strong prioritization and time-management skills to balance ongoing responsibilities with urgent requests. Preferred Job Requirements Master’s degree in business administration, public policy or public administration. Relevant professional certification (i.e., CGMS, GPC, PMP). Work Schedule May be required to work extended hours as necessary to support business need. Job Description Disclaimer This position description incorporates the core responsibilities of the job. It recognizes that other related duties not specifically mentioned might also be performed, and that not all responsibilities may be carried out depending on operational needs. The hiring department will conduct interviews of qualified individuals prior to requesting a criminal background check, and no job application submitted prior to such interview shall inquire into an applicant's criminal history. If this position is subject to a background check for any convictions related to its responsibilities and requirements, employment will be contingent upon successful completion of a background investigation including criminal history. Criminal history will not automatically disqualify a candidate. Commitment to Diversity Witt O'Brien's is always looking for the most qualified and experienced professionals with a passion for public safety, emergency management, homeland security, disaster response, and continuity of operations. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Equal Opportunity Employer/Veteran/Disabled With you when it counts. Witt O’Brien’s has joined the Ambipar Group, a global leader in integrated environmental and emergency management solutions. Witt O’Brien’s has an outstanding reputation for crisis and emergency management. We help our clients mitigate risk, prepare for, respond to, and recover from disasters, and build resilience. Our highly skilled experts protect lives, communities and businesses in both the private and public sectors. We do that with innovative services that combine decades of front-line disaster experience with out-of-the-box thinking, to generate the best outcome for our clients. As the threat of disruption from both man-made and natural disasters increases, our solutions have never been in greater demand. Are you looking for an opportunity to join a team that makes a real difference? Do you want to be part of a collaborative team that protects and strengthens communities and businesses? If you are looking for all these opportunities and more, then Witt O’Brien’s is the right fit for you. We are seeking the best and brightest talent to help us take our organization to the next level. We offer a stimulating work environment with a growth-oriented dynamism. Our compensation and benefits package is highly competitive, to encourage happy and motivated employees. Reasonable Accommodation Witt O’Brien’s is committed to providing an inclusive workplace environment free from discrimination. In support of this, Witt O’Brien’s works to ensure that none of its policies, practices, work arrangements, or facilities have discriminatory effects on individuals or on groups protected under applicable federal, state, or local legislation. If you need accommodation for any part of the application process because of a medical condition or disability, please email hiring@wittobriens.com or call 1-713-496-3674 (71-FIX-ME-ORG) to let us know the nature of your request.
  • 2 Days Ago

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Client & Policy Servicing Specialist
  • CapSpecialty
  • Hartford, CT FULL_TIME
  • Client & Policy Servicing Specialist Hartford, CT Looking to join an engaging and collaborative company that offers competitive compensation and benefits packages – including generous paid time off, f...
  • 4 Days Ago

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Accounting Policy and Research Specialist (Hybrid)
  • EVERSOURCE
  • Berlin, CT FULL_TIME
  • The Accounting Specialist for Accounting Research is responsible for performing research, documenting conclusions, and maintaining all accounting policies and certain corporate policies with accountin...
  • 15 Days Ago

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Medical Device Sales - Product Specialist
  • Tactile Medical
  • Fairfield, CT FULL_TIME
  • Overview The Product Specialist is responsible for educating therapists, physicians and patients on Tactile Medical Products in an assigned territory. Responsible for establishing sales strategies to ...
  • 23 Days Ago

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Dental Assistant
  • Dental Specialist
  • New Haven, CT FULL_TIME
  • specialty dental office in the Greater New Haven area is looking to hire an individual who aspired to join a great dental team caring for patients in an excellent and professional manner. This positio...
  • Just Posted

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Accounts Receivable Specialist-Medical Billing
  • CPa Medical Billing
  • East Haven, CT FULL_TIME
  • Part Time- and Full-Time opportunities!!! $1,000 SIGN ON BONUS New openings! New Clients ! New Opportunities ! Job Summary - Medical Biller CPA Medical Billing, a division of Gebbs health care company...
  • 1 Day Ago

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Ambulatory Medication Specialist
  • Children's National Medical Center
  • Washington, DC
  • Under the direct supervision of a registered pharmacist and under the leadership the Pharmacy Management staff, the Ambu...
  • 3/28/2024 12:00:00 AM

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Medical Specialist 2
  • New York State Civil Service
  • Thiells, NY
  • Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, ...
  • 3/28/2024 12:00:00 AM

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Medical Specialist - Pulmonology - Gary, IN
  • Regeneron Pharmaceuticals
  • Indianapolis, IN
  • The Medical Specialist (Sales Representative), Pulmonology (MS) will be responsible for engaging Pulmonologists and othe...
  • 3/28/2024 12:00:00 AM

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(Physician) Medical Specialist 2
  • Office for People with Developmental Disabilities
  • Thiells, NY
  • Job Description Job Description EMPLOYMENT OPPORTUNITY ANNOUNCEMENT EOA #: 23-061RR EOA DATE: March 15, 2024 REPLY BY: S...
  • 3/27/2024 12:00:00 AM

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Medical Assistant/ Medication Specialist
  • Nidraveda PA
  • San Antonio, TX
  • Job Description Job Description We are looking for someone with a professional attitude, a dedication to healthcare, and...
  • 3/27/2024 12:00:00 AM

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Inventory Medical Specialist - Materials Services OR
  • Hoag Memorial Hospital Presbyterian
  • ** Inventory Medical Specialist - Materials Services OR** Department: Support Services Status: Full Time Shift: 1st **Pr...
  • 3/27/2024 12:00:00 AM

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Medication Specialist
  • Behavorial Health Network, Inc
  • Boston, MA
  • Use your knowledge of addiction recovery and medication management with BHN! Join our team of competent and compassionat...
  • 3/26/2024 12:00:00 AM

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Medical Assistant, Medical Specialists
  • UP Health System - Marquette
  • Marquette, MI
  • UP Health System - Marquette Medical Assistant, Medical Specialists, 1.0DV Who We Are: People are our passion and purpos...
  • 3/26/2024 12:00:00 AM

Connecticut is bordered on the south by Long Island Sound, on the west by New York, on the north by Massachusetts, and on the east by Rhode Island. The state capital and fourth largest city is Hartford, and other major cities and towns (by population) include Bridgeport, New Haven, Stamford, Waterbury, Norwalk, Danbury, New Britain, Greenwich, and Bristol. Connecticut is slightly larger than the country of Montenegro. There are 169 incorporated towns in Connecticut.The highest peak in Connecticut is Bear Mountain in Salisbury in the northwest corner of the state. The highest point is just east...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$96,198 to $117,425

Medical Policy Specialist in Norfolk, VA
Guideline 9 – specialist medical procedures provides that applications for the separate representation of children with an intellectual impairment in relation to applications for special medical procedures are not subject to the means test or merits test.
February 20, 2020