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)
Job Title: Policy Director
Reports to: Chief Executive Officer
Job Purpose: [Using independent judgment and discretion], Contributes to the overall success of CCP by taking a leadership role in policy research and development, communicating the findings, proposing strategic policy campaigns, and effectively advocating and effectively communicating with team members, policy-makers, and allied organizations.
Primary Duties and Responsibilities
Secondary Duties and Responsibilities
Qualifications
Knowledge, Skills and Abilities
Education
Salary
The starting salary range for this position is between $60,000 to $75,000 annually depending on experience. The final salary will be based on an internal equitable scale that takes into consideration years of experience, educational attainment, management responsibilities, and final job description. We also offer a robust benefits package for full time employees including paid time off; 100% of health, dental, vision; retirement plan; professional development funding; remote work reimbursements and on site childcare for employees with children. CCP prides itself for developing family friendly policies and currently we are at the Platinum level with the NM Family Friendly Business Awards.
The Center for Civic Policy is an equal opportunity employer and actively works to ensure fair and equal treatment of its employees regardless of differences based on culture, socioeconomic status, race, marital or family situation, gender, age, ethnicity, religious beliefs, physical ability or sexual orientation.