Medical Policy Specialist jobs in Michigan

Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Legal Student Assistant
  • Budget and Policy Analyst/Specialist 9-13 - State...
  • Lansing, MI FULL_TIME
  • Salary
    $10.33 - $27.06 Hourly
    Location
    Lansing, MI
    Job Type
    Non Career
    Job Number
    7601-24-IMD-009
    Department
    Environment, Great Lakes and Energy (EGLE)
    Opening Date
    05/31/2024
    Closing Date
    6/14/2024 11:59 PM Eastern
    Bargaining Unit
    NON-EXCLUSIVE REPRESENTED EMPLOYEE (NERE)

    Job Description

    This position is exposed to a variety of areas of law and work across all divisions of the Department of Environment, Great Lakes, and Energy. The position works under the direction of the Legal Specialist in the Information Management Division and assists with various legal issues of the Department. The position assists in managing the litigation holds for the Department. Additionally, the position assists with discovery, subpoena response, Freedom of Information Act (FOIA) requests, and legal research.

    This position requires current enrollment in Law School.

    The selected candidate may be eligible for a hybrid work schedule (combination of remote and in-person) or a fully remote work schedule (with occasional travel to their official work location). Employees approved for schedules that include remote work must complete that work within Michigan. Relocation expenses are not reimbursed. When working remote, employees must use a designated workspace that is safe and professionally appropriate, allows for privacy, minimizes distractions, and includes secure internet access. Details regarding work location and schedule options for this position may be discussed during the interview process.


    Required Education and Experience

    Education
    Current enrollment in high school, vocational or technical school, or post-secondary educational institution.

    Experience
    No specific type or amount is required.

    Additional Requirements and Information

    ABOUT EGLE
    The Department of Environment, Great Lakes, and Energy's mission is to protect Michigan’s environment and public health by managing air, water, land, and energy resources.


    The student must provide evidence of enrollment or acceptance to an educational institution.


    Non-career employees are not eligible for insurance benefits or paid time off, however, they may be able to participate in a deferred compensation plan 401k and/or 457.

  • 2 Days Ago

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General Office Assistant 5-E7 - Elections Operation Division
  • Budget and Policy Analyst/Specialist 9-13 - State...
  • Lansing, MI FULL_TIME
  • Salary $39,145.60 - $55,411.20 Annually Location Lansing, MI Job Type Limited Term (position has expiration date) Job Number 2301-24-BOE029 Department Department of State Opening Date 05/31/2024 Closi...
  • Just Posted

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Budget and Policy Analyst/Specialist 9-13 - State Budget Office
  • Medical Records Examiner-E (Center for Forensic...
  • Lansing, MI FULL_TIME
  • Salary $23.90 - $40.44 Hourly Location Lansing, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 0701-24-30-81NG Department Technology, Management and Budget Opening Date 0...
  • Just Posted

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Medical Director - Medical Policy (Medicare)
  • BCBSM Career Section
  • Detroit, MI FULL_TIME
  • Responsible for providing leadership and broad strategic direction in the area of Senior Services particularly PPO and HMO Medicare and Medicare Advantage lines of business. Responsible for corporate ...
  • 14 Days Ago

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Medicaid Utilization Analyst 9-P11 - BPHASA Medical Equipment and Services Section
  • CPS and Foster Care - Services Specialist 9-12 -...
  • Lansing, MI FULL_TIME
  • Salary $1,912.00 - $2,996.80 Biweekly Location Lansing, MI Job Type Permanent Full Time Remote Employment Remote Only Job Number 3901-24-BPHASA-MCM-079-FILL Department Health and Human Services - Cent...
  • Just Posted

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Insurance Agent
  • My Policy Shop
  • Grand Rapids, MI FULL_TIME
  • About us Welcome to My Policy Shop. The insurance agency for Health, Medicare, Life, and Retirement Happiness. We are a professional, fast-paced, customer-centric, yet fun and rewarding health and lif...
  • 2 Months Ago

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(Physician) Medical Specialist 2
  • Office for People with Developmental Disabilities
  • Thiells, NY
  • Job Description Job Description EMPLOYMENT OPPORTUNITY ANNOUNCEMENT EOA #: 23-061RR EOA DATE: March 15, 2024 REPLY BY: S...
  • 6/11/2024 12:00:00 AM

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Medical Specialist
  • U.S. Air Force Reserve
  • Position Summary Our hundreds of medical facilities around the world are only as good as the staff who run them. Providi...
  • 6/10/2024 12:00:00 AM

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Bio Medical Specialist
  • United Health Services
  • Johnson City, NY
  • Bio Medical Specialist, UHS Wilson Medical Center United Health Services is seeking a Bio Medical Specialist to join our...
  • 6/10/2024 12:00:00 AM

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Medical Specialist 2
  • State of New York
  • Tupper Lake, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

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Medical Specialist 1
  • State of New York
  • Tupper Lake, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

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Medical Specialist 2
  • State of New York
  • Thiells, NY
  • Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
  • 6/9/2024 12:00:00 AM

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Medical Assistant/ Medication Specialist
  • Nidraveda PA
  • San Antonio, TX
  • Job Description Job Description We are looking for someone with a professional attitude, a dedication to healthcare, and...
  • 6/9/2024 12:00:00 AM

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Certified Medication Specialist
  • Mosaic
  • Beatrice, NE
  • Schedule: Full-Time Days, Evenings, Overnights Part-Time Evenings If making a positive impact in the lives of others is ...
  • 6/8/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$88,694 to $108,259

Medical Policy Specialist in Norfolk, VA
Guideline 9 – specialist medical procedures provides that applications for the separate representation of children with an intellectual impairment in relation to applications for special medical procedures are not subject to the means test or merits test.
February 20, 2020