Medical Policy Specialist jobs in North Dakota

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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Senior Medical Education Specialist
  • Sanford Health
  • Fargo, ND FULL_TIME
  • Create Your Career With Us!

    Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

    Facility: Sanford Medical Center Fargo

    Location: Fargo, ND

    Address: 5225 23rd Ave S, Fargo, ND 58104, USA

    Shift: 8 Hours - Day Shifts

    Job Schedule: Full time

    Weekly Hours: 40.00

    Salary Range: $24.00 - $38.50

    Job Summary

    Oversees the collection and management of medical education data from survey systems, administrative systems, and external sources (including accreditation bodies). Fulfills regular and ad-hoc reporting requests to monitor program performance and supply data for operational needs both internal and external to Sanford Medical Education (SME). Develops and maintains effective dashboards and additional analysis of SME-related activities and outcomes. Provides education, direction and consultation for data systems to stakeholders via one-on-one meetings, e-mail communications, and presentations. Establishes and maintains effective working relationships with team members, academic partners, students, resident physicians, fellows, internal and external stakeholders, and other system departments. Prepares progress reports for leadership regarding status of accreditation status, projects and final project summaries. Knowledgeable of internal organizational practices and procedures as well as applicable external educational accreditation requirements. Relies on experience and judgment to plan and accomplish goals. Coordinates communication and related committee meetings with project members and key stakeholders.

    Possess a working knowledge accreditation standards for programs specific to individual's area of responsibility. Ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures that are necessary for a comprehensive learning program. Provide guidance and direction to administrators, other educators, and/or health team members to successfully meet regulations.

    Ability to develop strong working relationships, manage projects, and effectively communicate to achieve organizational goals. Demonstrates successfully working with diverse groups of people in order to accomplish a common goal. Demonstrate flexibility as well as effective planning and organizational skills. Effective communication skills are essential: personal, verbal, written, and electronic. Ability to function in a collaborative, fast-paced, customer-driven organization. Demonstrable proficiency in Microsoft Office/Windows applications, analytical decision-making, information gathering, presentation, project management.

    Qualifications

    Bachelor's degree required. Master's degree preferred. Field of study preference based on department training focus and specialties.

    In lieu of Bachelor's degree, will consider minimum five years working experience equivalency. Additionally, have a minimum of four years’ experience in a healthcare environment providing education/training, including the use of automated software applications. Ideally have at least two years project management experience as well as knowledge of adult learning principles and training methods is preferred.

    Obtains and subsequently maintains required department specific competencies and certifications based on program training needs of the department and population focus.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0181176

    Job Function: Human Resources

    Featured: No

  • 21 Days Ago

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Durable Medical Equipment Specialist
  • Sanford Health
  • Jamestown, ND FULL_TIME
  • Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportuni...
  • 1 Month Ago

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Referral Specialist
  • CHI St. Alexius Minot Medical Plaza
  • Minot, ND FULL_TIME
  • OverviewCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based...
  • 16 Days Ago

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RN Peer Review Specialist - Medical Staff - Fargo
  • Sanford Health
  • Fargo, ND FULL_TIME
  • Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportuni...
  • 18 Days Ago

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Intake Durable Medical Equipment Specialist - Fargo, ND
  • Sanford Health
  • Fargo, ND FULL_TIME
  • Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportuni...
  • 1 Month Ago

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Travel Medical Technologist
  • Titan Medical
  • Fargo, ND FULL_TIME
  • Speciality: Medical TechnologistStart Date: 1/26/2024Shift: AnyLength: 13 weeksHealth care professional needed for a Medical Technologist position in ND. Must have a minimum of 2 years experience as a...
  • 6 Days Ago

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Medical Specialist 1
  • StateJobsNY
  • Tupper Lake, NY
  • Minimum Qualifications: Open Competitive: Possession of a license and current registration to practice medicine in New Y...
  • 4/18/2024 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...
  • 4/17/2024 12:00:00 AM

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Medical Specialist
  • U.S. Air Force Reserve
  • Position Summary Our hundreds of medical facilities around the world are only as good as the staff who run them. Providi...
  • 4/16/2024 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...
  • 4/16/2024 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...
  • 4/15/2024 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...
  • 4/15/2024 12:00:00 AM

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Medical Specialist
  • PSG Global Solutions Careers
  • South San Francisco, CA
  • Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We'...
  • 4/14/2024 12:00:00 AM

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Medical Specialist I (Gastro)-Greenville, SC
  • Regeneron Pharmaceuticals
  • Columbia, SC
  • The Medical Specialist (Sales Representative), Gastroenterology (MS) will report to the District Manager, Gastroenterolo...
  • 4/14/2024 12:00:00 AM

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$88,550 to $108,090

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