Medical Policy Specialist jobs in Utah

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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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

  • 13 Days Ago

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Policy Analysis Program Specialist
  • Administration for Children and Families
  • Salt Lake, UT FULL_TIME
  • This position is located in the Department of Health and Human Services, Administration for Children and Families, Office of Refugee Resettlement (ORR), UC Policy/Policy Coordination Team, located in ...
  • 7 Days Ago

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Senior Policy Program Specialist
  • Administration for Children and Families
  • Salt Lake, UT FULL_TIME
  • This position is located in the Department of Health and Human Services, Administration for Children and Families, Office of Refugee Resettlement, located in Anywhere in the U.S. (remote job). Salary:...
  • 9 Days Ago

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Medical Customer Service Specialist - Sandy, UT
  • 180 Medical
  • Sandy, UT FULL_TIME
  • Summary: Make a positive difference in others’ lives at a job where you can say you truly love what you do! 180 Medical has once again been voted one the Best Places to Work in our home state. Our emp...
  • 29 Days Ago

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Intake Specialist - Durable Medical Equipment
  • Redrock Medical Supply
  • Salt Lake, UT FULL_TIME
  • Red Rock Medical Supply is seeking positive, dependable, and detail-oriented employees to join our team. We are looking for a full-time Intake Specialist at our Salt Lake City location!About UsWe are ...
  • 27 Days Ago

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Medical Device & Drug Compliance Specialist
  • Fresenius Medical Care
  • Ogden, UT FULL_TIME
  • Position in Ogden, Utah.PRINCIPAL DUTIES AND RESPONSIBILITIES: Ensure that all design control deliverables comply with applicable regulatory requirements and design controls SOPsPrepare together with ...
  • 27 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...
  • 4/23/2024 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...
  • 4/22/2024 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...
  • 4/22/2024 12:00:00 AM

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RN-WMG-Endo Medical Specialist-Days
  • Wellstar Medical Specialists
  • Marietta, GA
  • Summary: Ambulatory/Outpatient refers to medical services performed on an outpatient basis, without admission to a hospi...
  • 4/22/2024 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...
  • 4/21/2024 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...
  • 4/21/2024 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...
  • 4/20/2024 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...
  • 4/19/2024 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 Specialist jobs
$85,062 to $103,832

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