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Medical Policy Specialist Jobs

Medical Specialist Jobs
By DrZiZo At United States
Identify and reach out to doctors, medical centers, and healthcare professionals to introduce DrZizo.com and its benefits.
Previous experience in sales, marketing, or healthcare industry preferred.
Excellent communication and interpersonal skills to effectively engage with healthcare professionals.
Strong negotiation and persuasion abilities to convince doctors to join our platform.
Ability to work independently and manage time effectively.
Knowledge of the healthcare industry and medical terminology is a plus.
Medical Specialist Jobs
By Aimic Inc At Cocoa, FL, United States
** Knowledge of confidentiality requirements
** Excellent data entry skills
A combination of education and professional experience totaling four (4) or more years in a related field
** Completes annual medical recertification process of SMMC Long-Term Care enrollees
** Monitor and prioritize cases assigned through an annual recertification process
** Experience working with medical records
Medical Specialist Jobs
By Aimic Inc At West Palm Beach, FL, United States
** Knowledge of confidentiality requirements
** Excellent data entry skills
A combination of education and professional experience totaling four (4) or more years in a related field
** Completes annual medical recertification process of SMMC Long-Term Care enrollees
** Monitor and prioritize cases assigned through an annual recertification process
** Experience working with medical records
Education Specialist, Global Policy
By Global Partnership Schools At ,

Application deadline: August 25, 2023 This position will report to the Senior Policy and Planning Specialist and serve as a member of the Strategy and Coordination Team. The Strategy ...

Medical Policy Testing Analyst I
By Cotiviti At , Remote $22.80 - $26.90 an hour
Time management skills and have the ability to understand that much or the work we do is time sensitive
Bachelors Degree or equivalent work experience preferred
Health plan operations experience working with medical policies, edits, or claims.
Strong analytical and problem solving skills
Experience in Microsoft Office (Excel, Word, PowerPoint), 2 years' minimum
Excellent written and verbal communication skills
Youth Tobacco Policy Specialist
By Weld County, CO At , Greeley From $62,800 a year
Knowledge of problem solving and change management within public health.
Skilled in the principles and practices of grant/budget management and administration.
A minimum of one-year of work-related experience or training in health education or public health is required.
A combination of education and appropriate health education or public health experience may be considered.
They must be knowledgeable about youth tobacco prevention and familiar with policy work.
This person will be skilled in community engagement and comfortable working with youth and disparate populations.
Education Specialist, Global Policy - Gpe
By IFC Systems Corporation At , Washington
Establish, in collaboration with GPE’s front office, the effective use of a knowledge management process for all GPE briefing notes.
Support the effective roll-out of Strategic Capabilities, particularly the Smart Education System Initiative project.
Support engagement of country partners in GPE’s policy and knowledge exchange initiatives.!
Demonstrated knowledge of current debates and issues related to the sustainable development agenda, including the key international actors and UN processes.!
Education Specialist, Global Policy - GPE
Proactively strengthen cross-secretariat collaboration on global policy and advocacy related opportunities.
Education Specialist, Global Policy - Gpe
By World Bank Group At , Washington, 20433
Establish, in collaboration with GPE’s front office, the effective use of a knowledge management process for all GPE briefing notes.
Support the effective roll-out of Strategic Capabilities, particularly the Smart Education System Initiative project.
Support engagement of country partners in GPE’s policy and knowledge exchange initiatives.!
Demonstrated knowledge of current debates and issues related to the sustainable development agenda, including the key international actors and UN processes.!
Proactively strengthen cross-secretariat collaboration on global policy and advocacy related opportunities.
8/25/2023 (MM/DD/YYYY) at 11:59pm UTC
Financial Policy Specialist Jobs
By A.C.Coy Company At Pittsburgh, PA, United States
Bachelor’s Degree in Accounting, Finance, Economics, or Business Administration/Management
Analyzing monthly financial results of legal entities and summarizing findings for review by executive management
Analyze, test, and report on financial data; and participate in financial and management report preparation for use by company personnel
Add interpretive value and context on accounting matters through consulting with Business and Resource Unit management.
STRONG knowledge of GAAP and SEC accounting and reporting requirements
3+ years of financial accounting work experience, including exposure to a manufacturing company or publicly traded company
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
Medical Specialist Jobs
By American Telehealth Initiative At Tacoma, WA, United States

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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.
Policy Form Specialist Jobs
By Progressive Insurance At United States
In lieu of degree, two years of related work experience (e.g., creating policy and legal forms)
Detailed knowledge of state insurance laws and regulations
Experience in rate revision, claims, underwriting, or experience as a business consultant or product specialist
2 to 4 years or more working with policy form development process preferred
Ability to identify and quantify legal and business exposures
Gainshare bonus up to 16% of your eligible earnings based on company performance
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
Policy Administration Specialist Jobs
By Global Atlantic Financial Group Opportunities At , Des Moines, Ia $35,113 - $66,882 a year
Exceptional data entry and navigation skills
Provide direction to claimant on requirements and eligibility
Facilitate resolution timely and to business and compliance requirements
Analyze, review and process unclaimed property
Process needed letters for identified populations
Support all department and strategic initiatives
Medical Policy And Pricing Advisor
By Karna At , Remote
Comprehensive knowledge of medical, administrative, ethical, and legal requirements related to healthcare delivery and privacy of protected patient information
Five or more years of work experience in healthcare administration
Experience in running or working in a healthcare program in compliance with Federal law and regulations
Experience working in limited care healthcare programs preferred
Expert knowledge of Federal fee schedules, including FECA, DRG, CCR, CMS PPS-ExemptCancer Hospitals, and OPPS
Experience with Quality Assurance review of medical claims and systems
Project Coordinator, Medical Excellence, Training & Policy
By Bristol Myers Squibb At Princeton, NJ, United States
Develops and/or maintains all training materials as it relates to data entry/fulfillment activities.
Minimum 5 years administrative/coordinator experience required, preferably in the biotech or pharmaceutical industry
Experience with Customer Database(s) strongly preferred
Meeting experience organizing worldwide training working cross functionally.
Excellent written and oral communication skills
Ability to multi-task, manage conflicting priorities with confidence, strong ability to take direction but also exercise judgment and independent thought
Policy Administration Specialist Jobs
By Global Atlantic Financial Group At , Batesville, In $35,113 - $66,882 a year
Exceptional data entry and navigation skills
Provide direction to claimant on requirements and eligibility
Facilitate resolution timely and to business and compliance requirements
Analyze, review and process unclaimed property
Process needed letters for identified populations
Support all department and strategic initiatives
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
Policy Specialist, Trust & Safefty
By Spotify At , Los Angeles, Ca
BA/BS degree or similar experience required
2+ years experience in Trust & Safety, or a related field,.
Strong critical thinking skills with the ability to identify potential avenues for abuse.
Creative problem solver, comfortable thinking through novel issues and devising new ways to measure and mitigate risks; coding experience a plus.
Excellent interpersonal skills; able to navigate complex issues and passionate about helping Spotify users and creators.
Work cross functionally with internal stakeholders to build consensus and advance T&S initiatives.

Are you looking for an exciting opportunity to make a difference in the healthcare industry? We are looking for a Medical Policy Specialist to join our team and help shape the future of healthcare! As a Medical Policy Specialist, you will be responsible for researching and analyzing healthcare policies, developing new policies, and ensuring compliance with existing policies. If you have a passion for healthcare and are looking for a rewarding career, this is the job for you!

Overview A Medical Policy Specialist is responsible for researching, analyzing, and interpreting medical policies and procedures. They are responsible for ensuring that medical policies and procedures are up-to-date and compliant with applicable laws and regulations. They also provide guidance and advice to medical staff and other healthcare professionals on medical policy matters. Detailed Job Description The Medical Policy Specialist is responsible for researching, analyzing, and interpreting medical policies and procedures. They must ensure that medical policies and procedures are up-to-date and compliant with applicable laws and regulations. They must also provide guidance and advice to medical staff and other healthcare professionals on medical policy matters. The Medical Policy Specialist must be knowledgeable of current medical practices and procedures, as well as applicable laws and regulations. They must be able to effectively communicate with medical staff and other healthcare professionals. Job Skills Required
• Knowledge of medical policies and procedures
• Knowledge of applicable laws and regulations
• Ability to research and analyze medical policies
• Ability to interpret medical policies
• Excellent communication skills
• Excellent organizational skills
• Ability to work independently
• Ability to work in a team environment
Job Qualifications
• Bachelor’s degree in healthcare administration, health policy, or a related field
• At least two years of experience in a healthcare setting
• Knowledge of medical terminology and coding
• Knowledge of medical billing and coding
• Knowledge of healthcare regulations
• Proficiency in Microsoft Office Suite
Job Knowledge
• Knowledge of medical policies and procedures
• Knowledge of applicable laws and regulations
• Knowledge of medical terminology and coding
• Knowledge of medical billing and coding
• Knowledge of healthcare regulations
Job Experience
• At least two years of experience in a healthcare setting
• Experience in researching and analyzing medical policies
• Experience in interpreting medical policies
• Experience in providing guidance and advice to medical staff and other healthcare professionals
Job Responsibilities
• Research, analyze, and interpret medical policies and procedures
• Ensure that medical policies and procedures are up-to-date and compliant with applicable laws and regulations
• Provide guidance and advice to medical staff and other healthcare professionals on medical policy matters
• Monitor changes in medical policies and procedures
• Develop and implement new medical policies and procedures
• Maintain accurate records of medical policies and procedures
• Prepare reports and presentations on medical policy matters