Medical Policy Manager jobs in Missouri

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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Transmission Regulatory Policy Manager
  • LS Power Development, LLC
  • Chesterfield, MO FULL_TIME
  • Overview

    About us:

    Founded in 1990, LS Power is a premier development, investment, and operating company focused on the North American power and energy infrastructure sector, with leading platforms across generation, transmission and energy transition solutions. Since inception, LS Power has developed or acquired over 47,000 MW of power generation, including utility-scale solar, wind, hydro, battery energy storage, and natural gas-fired facilities. Through LS Power Grid, the Firm has built and operates approximately 780 miles of high-voltage transmission and has another 350 miles and multiple grid infrastructure projects currently under construction or development. Across its efforts, LS Power actively invests in and scales businesses that are accelerating the energy transition, including electric vehicle charging, demand response, microgrids, renewable fuels and waste-to-energy platforms. Over the years, LS Power has raised $54 billion in debt and equity capital to support North American infrastructure.

     

    Our Purpose, Mission, & Values:

    Our Purpose is to solve complex energy problems that improve the world

    Our Mission is to make lives better by developing a cleaner and more reliable energy ecosystem

    Our Values are the willingness to participate in and help strengthen our culture of integrity, Innovation, Teamwork, and Taking Ownership

     

    Our People create value and are our Most Valuable asset.  We take our values of Integrity, Innovation, Teamwork and Taking Ownership seriously and ask candidates to think about how they can help us further enhance our culture with their specific skillsets, capabilities and experiences.

     

    Benefits

    We provide our team the opportunity to share their unique perspectives, solve new challenges, and continue in their career growth. We are committed to supporting employees’ happiness, healthiness, and overall well-being by providing comprehensive benefits that include 100% employer paid premium healthcare, paid parental leave and more.

     

    About the Role:

    LS Power is seeking a Transmission Regulatory Policy Manager to serve a key role in interfacing with RTOs/ISOs as well as federal, regional, and state regulatory agencies for the company’s growing electrical transmission business.  This position will have a primary focus on the MISO and SPP regions.  The Transmission Regulatory Manager is a high visibility position within and external to the organization.  The Transmission Regulatory Policy Manager will interface with various other departments in the organization including Asset Management, Business Development, Transmission Planning, Operations, and more.  This is a unique opportunity to join a dynamic and growing organization.

    Responsibilities

    What you will do:

    • Responsibilities will include (among others) advocacy for competitive and transparent regional transmission planning processes, monitor and analyze federal and state regulatory filings, summarize and report relevant information to internal decision-makers, cultivate relationships with RTO/ISO staff and stakeholders.
    • Advance company transmission policy interests through RTO/ISO stakeholder processes and federal and state regulatory proceedings. Includes in written filings and other formal and informal communications.  Experience in one or more RTO/ISO stakeholder processes preferred.
    • Provide regulatory support to asset management function including operating utility compliance in MISO. Work with other company employees related to transmission planning, operations and regulatory policy to establish and advocate company positions.
    • Follow matters at state regulator groups as they relate to transmission utilities. Follow matters at state legislatures and guide lobbyist(s) as necessary as they relate to transmission utilities in the regions.

    Qualifications

    We want you on our team because you…

    • Hold a college degree in related field, advanced degree preferred.
    • Have a minimum of 5 years of related professional experience.
    • Possess excellent interpersonal skills with the ability to build relationships with internal and external stakeholders.
    • Have industry and FERC knowledge and experience particularly with one or more RTO/ISO areas.
    • Are a self-starter and able to function effectively with minimal supervision.
    • Are able to multi-task and effectively manage multiple assignments occasionally under time constraints
    • Strong decision making skills.
    • Have excellent verbal and written communication skills with the ability to clearly communicate complex issues in preparing briefs and other documents.
    • Are comfortable with frequent travel 
  • 3 Days Ago

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Manager/Senior Manager - Compliance, Internal Controls, and Policy
  • Copeland
  • St. Louis, MO FULL_TIME
  • The Senior Manager – Compliance, Internal Controls, and Policy is a multi-faceted professional role with several areas of responsibility, including financial policy & compliance, acquisition integrati...
  • 29 Days Ago

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Clinical Account Manager - St. Louis
  • Careers -Clinical Account Manager
  • St. Louis, MO FULL_TIME
  • Clinical Account Manager - St. Louis Apply Now Description/Job Summary Clinical Account Manager – Business Development Overview of the Role As the Clinical Account Manager, you will be responsible for...
  • 1 Month Ago

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Medical Practice Manager - Orthopedics
  • American Medical Missouri
  • Macon, MO FULL_TIME
  • Practice Manager – Orthopedic Office Join an established orthopedic practice serving northern Missouri. The ideal candidate will have a proven track record in management, with strong skills in employe...
  • 6 Days Ago

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Medical Group Coding Manager
  • Saint Joseph Medical Center
  • Kansas, MO FULL_TIME
  • Medical Group Coding Manager Facility St. Joseph Medical Group (Kansas City Physician Care) Location US-MO-Kansas City ID 2024-164446 Category Manager Position Type Full Time Shift Days Job Type Exemp...
  • Just Posted

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RN Manager Medical Surgical
  • Research Medical Center
  • Kansas, MO FULL_TIME
  • Introduction Do you have the career opportunities as a(an) RN Manager Medical Surgical you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every...
  • 1 Day Ago

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

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Hospital Medical Leader
  • Petco
  • Deerfield Beach, FL
  • 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
  • Noblesville, IN
  • 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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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

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Hospital Medical Leader
  • Petco Animal Supplies, Inc.
  • Plainview, NY
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/7/2024 12:00:00 AM

Missouri is landlocked and borders eight different states as does its neighbor, Tennessee. No state in the U.S. touches more than eight. Missouri is bounded by Iowa on the north; by Illinois, Kentucky, and Tennessee across the Mississippi River on the east; on the south by Arkansas; and by Oklahoma, Kansas, and Nebraska (the last across the Missouri River) on the west. Whereas the northern and southern boundaries are straight lines, the Missouri Bootheel protrudes southerly into Arkansas. The two largest rivers are the Mississippi (which defines the eastern boundary of the state) and the Misso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$125,276 to $152,937

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