Medical Policy Manager jobs in Florida

Medical Policy Manager manages and implements corporate policy and process for medical provider and other reimbursements. Ensures that all claims are reviewed, settled, and processed in compliance with and according to contract provisions and regulatory requirements. Being a Medical Policy Manager evaluates and develops policies and provider reimbursement guidelines to effectively manage and control medical claims cost. Requires a bachelor's degree of finance, business or healthcare administration. Additionally, Medical Policy Manager typically reports to head of a unit/department. The Medical Policy Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Policy Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Policy and Government Affairs Manager
  • The Greater Miami Expressway (GMX) Agency
  • Miami, FL FULL_TIME
  • Position Summary

    The Policy and Government Affairs Manager is responsible for administering and maintaining policies and objectives involving local, state, and federal government affairs. Responsibilities include shaping and advocating for our Agency’s policy priorities and representing the Agency’s interests to government officials, legislators, regulators, and other key stakeholders. The Policy and Government Affairs Manager must have a deep understanding of policy issues, legislative processes, and governmental relations along with strong communication, strategic planning, and negotiation skills.


    Required Education & Experience

    • Bachelor’s Degree in Public Administration, Business Administration, Political Science, or a related field.
    • Minimum of 3 years of experience in government affairs, policy analysis, lobbying, or related experiences.


    An equivalent combination of training and experience that provides the required skills, knowledge, and abilities for this position may be considered.


    Required Knowledge, Skills & Abilities

    • Maintain working knowledge of the changing political environments, policy priorities, and Agency, Board, and customer expectations.
    • Ability to analyze existing and proposed policies and evaluate their effectiveness and make recommendations.
    • Assess the potential impact of proposed policies and regulations on the Agency and industry.
    • Ability to negotiate with stakeholders, build consensus, and resolve conflicts to achieve policy goals.
    • Knowledge of political landscape, including political dynamics, and potential obstacles to policy objectives.
    • Ability to manage unexpected developments that may impact the Agency's reputation or policy objectives.
    • Ability to demonstrate integrity, transparency, and ethical behavior in all interactions and decision-making processes.
    • Ability to effectively manage projects and timelines related to policy initiatives and advocacy efforts.
    • Ability to communicate effectively (verbal and written).
    • Ability to operate with a high degree of autonomy, taking initiative and making decisions in a fast-paced and dynamic environment.


    Essential Duties

    • Effectively work with the Executive Director to develop and communicate the Agency’s short and long-term public policy agenda.
    • Research, analyze, and monitor legislative and regulatory developments at the local, state and federal levels.
    • Assess the potential impact of proposed policies and regulations on the Agency.
    • Develop and implement advocacy strategies to advance the Agency’s interests and objectives.
    • Build and maintain relationships with government officials, policymakers, industry associations, and other stakeholders.
    • Represent the Agency in meetings, hearings, and other forums with government officials and policymakers.
    • Collaborate with internal teams to develop policy positions and advocacy campaigns.
    • Prepare written materials, including policy briefs, position statements, and testimony for hearings.
    • Monitor and participate in industry coalitions, working groups, and other collaborative efforts.
    • Track and report on legislative and regulatory developments to internal stakeholders.
    • Stay informed about emerging issues and trends in the industry and their potential implications for the Agency.
    • Approve invoices in a timely manner in accordance with Florida Statute. 
    • Ensure the procurement process is followed for all purchases of goods and services.
    • Create an atmosphere that facilitates the Agency’s goals and decisions through mutual respect, honesty, and consideration of others.
    • Ensure Agency policies are administered in a fair and consistent manner.
    • Ensure all policies are administrated within ethical and legal standards.
    • Any other duties as assigned.


    Special Requirements, Licenses & Certifications

    • Possession of valid Florida Driver’s License and ability to maintain a safe driving record in order to operate GMX vehicles for business purposes.


    Working Conditions & Required Physical Abilities


    Individuals in this type of position must have the use of sensory skills to effectively communicate with other employees and the public through the use of the telephone and personal contact as normally defined by the ability to see, read, talk, sit, stand, hear, use of fingers in order to handle, feel or operate objects and write. Must have the physical capabilities to move about the office and use and operate various office equipment; such as, but not limited to personal computer, calculator, copy and fax machines. It may involve extended periods of time seated at the keyboard or workstation. It may involve some lifting, carrying, pushing and/or pulling of materials and objects weighing up to 25 lbs.


    Reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the job.

  • 3 Days Ago

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IT Cybersecurity Policy Manager
  • Donato Technologies, Inc.
  • Tallahassee, FL FULL_TIME
  • Job Title: IT Cybersecurity Policy ManagerJob Location: Tallahassee, FL (on-site/hybrid)Job Duration: 12 months extensionJob DutiesConduct an assessment of the organization's current cybersecurity pol...
  • 4 Days Ago

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Manager Rates and Policy
  • Peoples Gas System
  • Tampa, FL FULL_TIME
  • At Peoples Gas, we work to make lives better throughout Florida with safe, resilient, clean and affordable natural gas solutions. Our diverse and inclusive team serves nearly 470,000 residential, comm...
  • 8 Days Ago

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Manager Rates and Policy
  • TECO Peoples Gas
  • Tampa, FL FULL_TIME
  • WHAT YOU’LL DO The Manager Rates and Policy manages the overall process of developing and supporting the utility’s cost recovery clauses. Primary functions are performing clause rate design and analys...
  • 1 Day Ago

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Property Manager
  • Office Manager
  • Pensacola, FL FULL_TIME
  • Job DescriptionProperty ManagerWe are seeking an experienced and highly motivated Property Manager to oversee the day-to-day operations of a large apartment complex. The Property Manager will be respo...
  • Just Posted

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Sr Manager Accounting Policy & Research
  • NextEra Energy Resources
  • Beach, FL FULL_TIME
  • Requisition ID: 80006 Florida Power & Light Company is America’s largest electric company, providing clean, affordable, and reliable electricity to more than 12 million people in Florida. We operate o...
  • 7 Days Ago

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Hospital Medical Leader
  • Petco
  • Folsom, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/10/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Alameda, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/9/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Fairfield, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/9/2024 12:00:00 AM

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Head of Medical Writing
  • Barrington James
  • Clinical-stage biopharmaceutical company in San Francisco, is seeking a Head of Medical Writing. This leadership role in...
  • 6/8/2024 12:00:00 AM

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Head of Medical Strategy
  • ExecuSearch
  • Atlanta, GA
  • The Head of Medical Strategy provides medical expertise to the rheumatology commercial and medical teams and provides cl...
  • 6/8/2024 12:00:00 AM

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Head of Medical Strategy Rheumatology
  • UCB
  • Atlanta, GA
  • Make your mark for patients The Head of Medical Strategy provides medical expertise to the rheumatology commercial and m...
  • 6/8/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Pinellas Park, FL
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/8/2024 12:00:00 AM

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Head of Medical Writing
  • Barrington James
  • San Francisco, CA
  • Head of Medical Writing - Rare disease Biotech We are currently partnered with a growing, west coast based biotech focus...
  • 6/7/2024 12:00:00 AM

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$124,882 to $152,455

Medical Policy Manager in Miami, FL
Each county may, under the Health & Safety Code, establish an Emergency Medical Care Committee (EMCC) with membership prescribed and appointed by the county board of supervisors.
January 02, 2020
Medical Policy Manager in Orange, CA
All Medical Device Licence holders or potential Medical Device Licence holders.
December 06, 2019
Medical Policy Manager in Fresno, CA
The Air Force has allowed more than 600 airmen to join its ranks despite having previously disqualifying medical conditions such as eczema and attention-deficit hyperactivity disorder, new statistics show.
December 29, 2019