Medical Policy Manager jobs in Rhode Island

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 Associate
  • ACLU - Affiliate Offices
  • Providence, RI FULL_TIME
  • The American Civil Liberties Union of Rhode Island is seeking a Policy Associate. The duties for this in-office position involve working on, and assisting the Executive Director in, various day-to-day and long-term programmatic and organizational activities, including lobbying at the General Assembly, research and report writing, representing the ACLU in public forums, serving as a liaison with other community groups, and various administrative and other tasks as necessary.

    Specific duties and responsibilities include, but are not limited to, the following:

    •   Assist the Executive Director in lobbying activities at the State House (generally January through June). This includes reviewing, researching and drafting legislation, writing position statements, testifying at committee hearings, and regularly attending legislative sessions and lobbying legislators on an individual basis.
    • Write letters and prepare fact sheets, email alerts and other materials to and for ACLU members and others on legislative issues.
    • Engage in similar activities on issues occurring at the local level, including representing the ACLU at meetings and hearings of public bodies and corresponding with public officials and others on civil liberties matters.
    • Analyze and testify on state administrative regulations and municipal ordinances.
    • Represent the ACLU in media interviews and inquiries, and assist with our social media and website outreach on civil liberties issues.
    • Research and write reports.
    • Assist with special educational projects, such as writing and publication of brochures, organizing public forums, and similar efforts.
    • Serve as liaison with other public interest and community organizations, and work with and organize coalitions on issues of mutual interest and concern.
    • Assist with miscellaneous administrative tasks and other projects as necessary in a small office, as assigned by the Executive Director.

    Evening work is regularly required during the legislative session, and some evening and weekend work is otherwise required.

    The position requires strong organizational, communications, administrative, writing and computer skills. Good interpersonal skills, a sense of humor, thick skin and a strong backbone also go a long way. Applicants should be committed to the broad-based, non-partisan civil liberties mission of the ACLU and its defense of popular and unpopular causes alike. The Policy Associate reports directly to the Executive Director, but also works as directed with other staff.  Note that this position is in-office.

    To apply, send a resume, cover letter and writing sample to policyjob@riaclu.org with the subject heading “Policy Associate Search.” Please indicate in your cover letter any salary requirement and where you found this job listing. No phone calls, please.

    The ACLU of Rhode Island is an equal opportunity/affirmative action employer and encourages applications from women, people of color, persons with disabilities, and LGBTQ individuals.

    6/24

     

    #LI-DNI

  • 2 Days Ago

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Policy Administrator
  • TEKsystems
  • North, RI FULL_TIME
  • Job Description:Performs administrative functions required for servicing of insured policy, certificate issue, and premium billing/collectionProcess enrollment, terminations, plan changes, census chan...
  • 2 Months Ago

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IMPLEMENTATION DIRECTOR POLICY AND PROGRAMS
  • State of Rhode Island
  • Providence, RI OTHER
  • GENERAL STATEMENT OF DUTIES: To be responsible for the development, implementation and administration of broad policies and programs that affect all areas for the efficient operation of all department...
  • 2 Days Ago

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Coordinator, Policy Development
  • University of Rhode Island
  • Kingston, RI FULL_TIME
  • Coordinator, Policy Development Position location: KingstonGrade Level - 11Salary Hiring Range: $65,000 - $85,000This position is full-time calendar year, permanent.BASIC FUNCTION:Under the general di...
  • 5 Days Ago

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DEPUTY CHIEF OF STAFF/POLICY
  • State of Rhode Island
  • Providence, RI FULL_TIME
  • Class Definition GENERAL STATEMENT OF DUTIES: The Deputy Chief of Staff/Policy will partner with the Director of Administration in the oversight of the operations of the Office of the Director. The De...
  • 1 Day Ago

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Family Voices Policy Intern
  • RIPIN
  • Warwick, RI INTERN
  • Rhode Island Parent Information Network, Inc.Job PostingFamily Voices Policy InternAbout RIPINRIPIN deploys a peer model to support people with special healthcare and education needs across the whole ...
  • 11 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$137,239 to $167,540

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