Medical Policy Manager jobs in Maryland

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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INTERN - Center for Injury Prevention and Policy
  • University of Maryland Medical System
  • Baltimore, MD INTERN
  • Job Description

    General Summary

    Under direct supervision, the intern works directly with various staff to provide assistance to the department. Enters data from a variety of sources for input into a database, reviews and summarizes information to produce and distribute standard reports, prepares data for projects, researches topics as requested, and provides administrative support.

    Principal Responsibilities and Tasks

    The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

    1. Reviews and summarizes information and data for use in reporting.
    2. Produces standard reports and prepares them for distribution/presentation.
    3. Assists in the preparation of various reports for reporting organizational/departmental activity.
    4. Researches topics as requested and relays relevant findings to staff.
    5. Provides support for special projects and assignments.
    6. Provides administrative support as needed.
    Company Description

    Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care.  Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing.  Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won’t find a more vibrant place to work! 

    Qualifications

    Education and Experience

    1. Must be enrolled in High School or Baccalaureate degree program required.
    2. Computer class or demonstrated competency preferred.

    Knowledge, Skills and Abilities

    1. Experience with personal computers, Microsoft Word and Excel is required.
    2. Effective verbal communication skills including courtesy, resourcefulness and efficiency in answering questions, giving directions, and explaining hospital/departmental policies and procedures.
    3. Effective writing skills are required in order to take messages and maintain records.
    4. Excellent customer service skills
    Additional Information

    All your information will be kept confidential according to EEO guidelines.

  • 23 Days Ago

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Senior Medical Policy Analyst (Remote)
  • CareFirst
  • Baltimore, MD FULL_TIME
  • Resp & Qualifications PURPOSE: We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFi...
  • 4 Days Ago

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Cybersecurity Policy Manager
  • State of Maryland - DoIT Enterprise Information Systems
  • Anne Arundel, MD FULL_TIME
  • IntroductionThe Department of Information Technology (DoIT) leads the State in the creation and implementation of information technology solutions that improve IT infrastructure and government service...
  • 7 Days Ago

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Manager of Accounting Policy
  • Marriott International
  • Bethesda, MD FULL_TIME
  • Job Number 24097014Job Category Finance & AccountingLocation Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States VIEW ON MAPSchedule Full-TimeLocated Remotely? NRelocat...
  • Just Posted

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Emergency Policy/Procedures/Resources Manager
  • City of Takoma Park
  • Takoma Park, MD FULL_TIME
  • The City of Takoma Park is recruiting for an Emergency Policy/Procedures/Resources Manager. Under general supervision of the Deputy Police Chief, the incumbent will plan, implement and coordinate City...
  • 2 Months Ago

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Manager, Advocacy and Strategic Alliances- Policy Lead
  • Aurinia
  • Rockville, MD FULL_TIME
  • Description Our Mission: Changing the trajectory of autoimmune diseases. Our Vision: Enabling patients to live their fullest life. We are a dedicated team of experts committed to changing the trajecto...
  • 6 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

Maryland (US: /ˈmɛrələnd/ (listen) MERR-əl-ənd) is a state in the Mid-Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east. The state's largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, and the Chesapeake Bay State. It is named after the English queen Henrietta Maria, known in England as Queen Mary. Sixteen of Maryland's twenty-three counties border the tidal waters of the Chesapeake Bay estuary and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$135,530 to $165,454

Medical Policy Manager in Miami, FL
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