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Adult Medical Policy Specialist Jobs

Policy Specialist Jobs
By Dept of Early Education & Care At , Boston, 02108, Ma $80,639 - $109,849 a year
Knowledge of early education and care policy, research, and best practices
Experience working in or closely with the field of early education and care/out of school time
Strong written and verbal communication skills;
Experience with Microsoft Access, Excel, Word, and Power Point;
Demonstrated experience working with a range of internal and external stakeholders; and
Knowledge of Department rules and regulations
Policy Development Specialist Jobs
By KeenLogic At Washington, United States
Experience assessing and enhancing Enterprise policies and procedures in response to the regulatory requirements associated with Federal and International standards.
Experience developing and modifying enterprise-level policies and publications.
Demonstrated experience reviewing and writing enterprise level security policies for a Federal agency or largescale organization.
Review, update, and maintain House Information Resources policy and procedure documentation and make recommendations for updates or improvements.
Provide technical writing support that collaborates with House personnel to prepare and review documentation for internal and external customers as required.
Perform a review and analysis of existing policies; Identify policy gaps, dependencies, and propose draft policy or updates to address them.
Adult Rights Specialist 1 - Reno
By State of Nevada At Sparks, NV, United States

Announcement Number: 42796 Open to all qualified persons. Posted 07/14/2023 Recruiter: AMANDA CREVOISERAT Email: [email protected] Applications accepted until recruitment needs are satisfied ...

Adult Rights Specialist 1 - Reno
By State of Nevada At Reno, NV, United States

Announcement Number: 42796 Open to all qualified persons. Posted 07/14/2023 Recruiter: AMANDA CREVOISERAT Email: [email protected] Applications accepted until recruitment needs are satisfied ...

Policy Specialist Jobs
By TekStream Solutions At Washington DC-Baltimore Area, United States
Assist in the development of data management standards and guidelines
· 5+ years of experience in data policy development and implementation.
· Experience working with legal teams on data policy development and implementation
· Mental flexibility to quickly adapt to new tasks and requirements in a highly dynamic environment
· Self-starter with the ability to work independently and manage competing priorities
· Provide subject matter expertise on data governance and policy development to the OCDO
Vp/Cfo Medical Center And Adult Services
By University of California San Francisco At , , Ca
Minimum seven (7) to ten (10) years of senior leadership experience overseeing healthcare finance and accounting functions.
Background in leading business and strategic planning, organizational development/reorganization, productivity improvement and cost management.
Executive, Financial, Professional and Managerial, Supervisory / Management
Advanced knowledge of clinical, financial, and business information technology software, hardware, tools, techniques, and systems.
Bachelor's degree in Accounting or Finance or related field.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Project Manager- Medical Policy - Remote
By UnitedHealthcare At Minnetonka, MN, United States
5+ years of project management experience
Proven excellent time management, organizational, and prioritization skills and ability to balance multiple priorities
Experience with project management technology
Support training strategy related to new and significantly revised Medical Policies, including development of educational slide presentations
BA/BS degree or equivalent experience
5+ years of experience in process development, tracking & planning
Adult Immunization Specialist – Fort Collins, Co
By GSK At , Fort Collins, Co $114,215 - $154,526 a year
Nursing (MSN, RN, LPN) or other healthcare qualification and experience
This position has a grade range. Offer to final candidate will reflect grade commensurate with experience.
Demonstrate knowledge of GSK vaccines, competitive products and GSK promotional strategies and objectives in a way that meets customer needs
Minimum 2 years business-to-business or pharmaceutical sales experience
Minimum 2 years vaccines sales experience
Strong account selling skills, including contract negotiations and ability to close a sale at the completion of a transaction
Lpn Ft, Adult Ed, Variable, Wake Forest Baptist Medical Center
By Wake Forest Baptist Health At , Winston-Salem, Nc

JOB SUMMARY: Under direct supervision of a registered nurse or physician, performs nursing services in the care and treatment of patients. EDUCATION/EXPERIENCE: Graduation from an accredited LPN ...

Policy Specialist Jobs
By Illinois State Board of Education At Greater Chicago Area, United States
Develops and uses project management tools with key objectives, milestones, and activities.
Strong verbal and written communication skills, including experience delivering presentations.
Prior knowledge of or incipient interest in the relationship between school finance and student success.
Assesses existing policies and statutory requirements to identify opportunities to streamline reporting.
Maintains records for institutional knowledge.
Bachelor’s degree plus two years of relevant professional experience. (COPY OF TRANSCRIPTS REQUIRED AT TIME OF APPLICATION)
Assistant Prof-Nursing;Adult Medical/Surgical
By Baltimore City Community College At , Baltimore, 21215, Md
Contributes to the overall achievement of the college's mission and goals through effective instruction and classroom management.
Familiarity with Canvas or another learning management system (LMS).
Demonstrates knowledge of content and pedagogy.
Participates in interdisciplinary efforts to address health care and educational needs within the institution and local community.
Three years of experience teaching in a college setting.
Two years clinical experience in a patient care area.
Medical Policy Analyst Rn
By Blue Cross Blue Shield of North Dakota At , Moorhead, 56560, Mn
Utilizes expertise to identify operational improvements with new analysis/reporting capabilities, project management techniques and/or engagement approaches.
3 years of acute medical or clinical experience in healthcare, utilization review, medical policy review, quality management, or related experience.
Develops, maintains, and implements medical policies and guidelines to meet regulatory requirements for preventative benefits.
Experience working in a managed care/health plan organization and coding background is preferred.
Collaborates with key internal stakeholders to develop recommendations for benefit plan design changes and implement new code updates.
Prepares communications and reports for internal and external audiences regarding medical policy, coding, and benefit implementations.

Are you looking for a challenging and rewarding career in the medical field? We are looking for an experienced Medical Policy Specialist to join our team! You will be responsible for researching and analyzing medical policies, developing and implementing new policies, and providing guidance and support to our medical staff. If you have a passion for healthcare and are looking for an opportunity to make a difference, this is the job for you!

Overview Adult Medical Policy Specialists are responsible for researching, analyzing, and interpreting medical policies and procedures related to adult medical care. They work with medical providers, insurance companies, and other stakeholders to ensure that policies are up-to-date and in compliance with applicable laws and regulations. Detailed Job Description Adult Medical Policy Specialists are responsible for researching, analyzing, and interpreting medical policies and procedures related to adult medical care. They work with medical providers, insurance companies, and other stakeholders to ensure that policies are up-to-date and in compliance with applicable laws and regulations. They must be knowledgeable about the latest medical trends and developments in the field, and must be able to communicate effectively with medical providers and other stakeholders. They must be able to interpret and explain medical policies and procedures to medical providers and other stakeholders. Job Skills Required
• Knowledge of medical policies and procedures related to adult medical care
• Knowledge of applicable laws and regulations
• Ability to interpret and explain medical policies and procedures
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to research and analyze data
• Ability to work under pressure and meet deadlines
Job Qualifications
• Bachelor’s degree in a related field
• At least two years of experience in a related field
• Certification in medical policy and procedure
• Knowledge of medical coding and billing
Job Knowledge
• Knowledge of medical policies and procedures related to adult medical care
• Knowledge of applicable laws and regulations
• Knowledge of medical coding and billing
• Knowledge of medical trends and developments
Job Experience
• At least two years of experience in a related field
• Experience working with medical providers, insurance companies, and other stakeholders
• Experience researching and analyzing data
Job Responsibilities
• Research, analyze, and interpret medical policies and procedures related to adult medical care
• Ensure that policies are up-to-date and in compliance with applicable laws and regulations
• Communicate effectively with medical providers and other stakeholders
• Interpret and explain medical policies and procedures to medical providers and other stakeholders
• Monitor medical trends and developments in the field
• Work independently and as part of a team to meet deadlines