Medical Policy Specialist jobs in Montana

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)

T
Paralegal - Contract & Policy Specialist
  • The Staff Pad
  • Helena, MT FULL_TIME
  • The Staff Pad is seeking a Paralegal - Contract and Policy Specialist. We are honored to partnered with a non-profit healthcare system in Helena, Montana with superior care and a hometown commitment to be the gold standard for health care in Montana.

    The Paralegal will provide legal support to the legal department of a hospital in Helena, Montana. This individual will assist in various legal matters related to healthcare operations, regulatory compliance, risk management, and litigation. The paralegal will work closely with attorneys, healthcare professionals, and administrative staff to ensure legal compliance and mitigate legal risks.

    Responsibilities:
    • Legal Research:Conduct legal research on healthcare regulations, statutes, and case law relevant to hospital operations.
    • Document Preparation:Draft and review legal documents, including contracts, agreements, policies, and correspondence.
    • Litigation Support: Assist in preparing legal documents for litigation, including discovery requests, pleadings, and motions.
    • Regulatory Compliance: Monitor changes in healthcare laws and regulations and assist in ensuring hospital compliance.
    • Risk Management: Assist in identifying and assessing legal risks to the hospital and developing strategies to mitigate those risks.
    • Records Management: Maintain organized and updated legal files and documentation, including electronic and physical records.
    • Administrative Support: Provide administrative support to the legal department, including scheduling meetings, managing calendars, and coordinating communications.
    • Collaboration:Collaborate with other departments, such as compliance, human resources, and finance, to address legal issues affecting hospital operations.
    • Confidentiality: Handle confidential information with discretion and maintain confidentiality of sensitive legal matters.


    Requirements

    Qualifications:
    • Education: Bachelor's degree in Paralegal Studies, Legal Studies, or related field preferred.
    • Experience:5 years experience as a paralegal, contract administration, document control specialist or similar capacity
    • License/Certification/Registry: Paralegal certificate preferred.


    Benefits

    - Competitive salary
    - Health, dental, and vision insurance
    - Retirement savings plan
    - Paid time off
    - Continuing education opportunities

  • 1 Month Ago

C
Policy Program Manager, Full Time
  • Cabinet Peaks Medical Center
  • Libby, MT FULL_TIME
  • Cabinet Peaks Medical Center is looking for a Policy Program Manager to join our Nursing Administration! The Policy Program Manager has direct oversight of the MCN Policy and Procedure Software. This ...
  • Just Posted

L
Future Opening: Experienced Top Hand
  • Larson Tower Specialist
  • Bozeman, MT FULL_TIME
  • Title: Telecommunications Tower Technician Level 3 (top hand)Location: Montana We are seeking an experienced and highly skilled Telecommunications Tower Technician to join our team as a Level 3 techni...
  • 7 Days Ago

L
Future Opening: Telecommunications Tower Technician (Green Hand)
  • Larson Tower Specialist
  • Bozeman, MT FULL_TIME
  • We are seeking a motivated and eager individual to join our team as a Telecommunications Tower Technician (Green Hand). The successful candidate will be responsible for assisting senior technicians wi...
  • 7 Days Ago

U
Policy Analyst
  • U.S. Department of the Treasury
  • Billings, MT FULL_TIME
  • DutiesWHAT IS THE LARGE BUSINESS AND INTERNATIONALDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies Will Be Filled In The Fol...
  • 12 Days Ago

U
Policy Analyst
  • U.S. Department of the Treasury
  • Missoula, MT FULL_TIME
  • DutiesWHAT IS THE LARGE BUSINESS AND INTERNATIONALDIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies Will Be Filled In The Fol...
  • 12 Days Ago

O
(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

U
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

U
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

S
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

S
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

S
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

N
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

M
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

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$83,931 to $102,445

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