Medical Policy Administration Professional
HireTalent
Medical Policy Administration Professional Medical Policy Administration Professional Direct message the job poster from HireTalent - Staffing & Recruiting Firm Account Manager | Recruitment, Staffing, CRM Job Description: The Policy Administration Professional 2 creates, reviews, and maintains catalog of company policies and procedures. The Policy Administration Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Policy Administration Professional 2 works with policy owners, creates documentation and write policies governing company processes and practices. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Required Qualifications Less than 5 years of technical experience Progressive strategic and operational experience in a Professional leadership capacity, preferably with a Fortune 100 company Excellent written and verbal communication skills Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree of Business Administration Strong comfort with financial acumen including experience managing data and numbers Additional Information Policy Development Support o Assist with drafting, updating, and formatting Medicaid policy documents in accordance with current templates and regulatory requirements. o Collaborate with subject matter experts to gather and incorporate accurate policy content. o Ensure all documents are consistent with Client's policy standards and applicable federal and state guidelines. 2. Process Documentation o Develop, revise, and maintain process documentation related to Medicaid operations, ensuring clarity and accuracy. o Map out key workflows and procedures, identifying critical steps and responsibilities. o Work with operational teams to validate documented processes and update as needed. 3. Template Transition o Support the transition of legacy policy and process documents to new HIDE/FIDE templates as directed. o Perform quality checks to ensure all transferred information is accurate and properly formatted. 4. Compliance and Quality Assurance o Ensure that all documents adhere to Client's quality audit standards and compliance requirements. o Maintain documentation version control and adhere to internal documentation management protocols. 5. Stakeholder Communication o Communicate status updates and seek clarification from relevant stakeholders as needed. o Coordinate with cross-functional teams to address documentation gaps and incorporate feedback. 6. Administrative Support o Assist with organizing, archiving, and retrieving policy and process documents. o Track progress of policy and documentation projects to ensure timelines are met. Seniority level Seniority level Associate Employment type Employment type Contract Job function Job function Administrative Industries Hospitals and Health Care Referrals increase your chances of interviewing at HireTalent - Staffing & Recruiting Firm by 2x Get notified about new Documentation Specialist jobs in United States . Houston, TX $1,500.00-$3,800.00 3 weeks ago Columbus, OH $1,500.00-$3,800.00 1 month ago New York, NY $63,964.00-$110,872.00 1 day ago New York, NY $95,000.00-$105,000.00 2 weeks ago United States $60,000.00-$80,000.00 3 hours ago Senior Documentation Specialist (Remote - US) United States $70,000.00-$90,000.00 2 weeks ago Double: Remote Executive Assistant (Central US) Document Control & Records Specialist III NWSOL Double: Remote Executive Assistant (Central US) Double: Remote Executive Assistant (Central US) Double: Remote Executive Assistant (Central US) Double: Remote Executive Assistant (Central US) Administrative Coordinator (Executive Assistant Team) United States $50,000.00-$65,000.00 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
- ...The Administrative Professional – Operations, Data & Systems Support plays a critical role in ensuring... ...operational efficiency of a growing medical services organization. This position... ...compliance with HIPAA and organizational policies Cross-Departmental Administrative...PolicyMedicalFull timeContract workWork at officeRemote work
$50.2k - $79.84k
...Administrative Secretary-Nursing Professional Practice-Day Shift (35 Hours) Nursing -- Nursing Support New... ...Langone offers a comprehensive range of medical services with one high standard of... ...and pertinent Medical Center policies. Offers continuing guidance and assistance...PolicyMedicalFull timeDay shift$17.51 per hour
...About the job Data Entry Clerk/Excel professional- Remote As a Data Entry Clerk/Excel professional... ...with the State of WI interview reuse policy. Applicants must be eligible to work in... ...Information (PII) (such as tax records, medical records, name, address, social security...PolicyMedicalHourly payCasual workWork at officeLocal areaRemote workVisa sponsorshipWork visa$70.3k - $80k
...Job Type: Officer of Administration Regular/Temporary: Regular Hours Per... .... Position Summary The Professional Billing Compliance Coordinator... ...Columbia University compliance policies, guidelines, and regulations... ..., preferably in an academic medical center or large healthcare...PolicyMedicalTemporary workWork at officeLocal area- ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Clinical Appeals Reviewer (Licensed... ...and holidays. Responsibilities Reviews medical records/case files, writes... ...with statutes, regulations, rulings, and policy. Responds to and ensures that all appeal...PolicyMedicalFull timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
- ...line with Firm and Department policies. The role also includes contributing to administrative initiatives within the Records... ...detailProfessional appearance and demeanor3 professional references are... ...for bonusesInsurance including medical, dental, vision, disability, life...PolicyMedicalFlexible hours
- ...development Benefits/Perks Medical reimbursement available 4... ...growing childcare center Professional development and training... ...Childcare regulations and administrative workflow. The ideal... ...privacy, safety, and center policies at all times Qualifications...PolicyMedicalWork at office
- ...new appeals/inquiries by accessing QNXT (medical/hospital claims system, provider and V3... ...timely in accordance with the departmental policies and procedures. • Review and respond... ...maintain a pleasant attitude; provide professional and courteous service to our members....PolicyMedicalWork at office
$18 per hour
.... Our close-knit team values professionalism, teamwork, and a positive office... ...with a strong background in medical billing (CAN BE TRAINED) to oversee daily administrative operations. Position... ...office staff Maintain office policies, procedures, and records...PolicyMedicalFull timePrivate practiceWork at officeMonday to Friday- ...hearings with the Hearing Officer, Legal professionals and other interested stakeholders.... ...Experience with Medicare, Legal and/or Medical Terminology Previous experience with review... ...to our firm’s overall success. It is the policy of Empower AI not to discriminate against...PolicyMedicalFor contractorsWork at office
$75k - $125k
...Assistant will provide an efficient and professional administrative support service to fee earners. The... ...of internal systems and policies General administrative support including... ...including pregnancy, childbirth or related medical conditions), national origin, citizenship...PolicyMedicalWork at officeLocal areaFlexible hours- ...We are looking for a poised, professional, and highly detail-oriented... ...while providing confidential administrative support to various... ...Offerings ~ Comprehensive medical, vision, and dental healthcare... ...healthcare benefits ~ Generous PTO policy ~401(k) plan ~ Paid...PolicyMedicalWork at office
$25.07 - $42.66 per hour
...high-level management level), administrative support and organizational... ..., with a high level of professionalism and confidentiality. Also responsible... ...regulatory and compliance policies and standards linked to the... ...of benefits including medical, dental, vision, life, and...PolicyMedicalHourly payWork at officeLocal areaFlexible hours$85k - $95k
...Estates Legal Secretary provides administrative and legal support to... ...Secretary in a law firm or professional services environment. ~ Proficiency... ...Employer. It is our policy to recruit, hire, train, and... ...orientation, genetic information, medical condition or disability, or...PolicyMedicalLocal area$100k - $130k
...Administrative Assistant Under the general direction of the Director... ...to established firm policies and procedures, the Administrative... ...Attorney while maintaining professionalism and strict confidentiality... ...package which includes: medical/dental/vision, 401k with employer...PolicyMedicalTemporary workWork at officeLocal area- ...Administrative Coordinator The Research Foundation for Mental Hygiene... ...Columbia University Irving Medical Center campus. Given the... ...visitors, and correspondence with professionalism. Prepares agendas,... ...with institutional policies. Provides logistical and...PolicyMedicalFull timeWork experience placementWork at office
- ...their designated contacts in a discrete and professional manner. Handles all office interactions... ...regulations. Maintains work records and policies and procedures. Meets the quality,... ...Knowledge Requirements Extensive knowledge of medical terminology and anatomy and physiology...PolicyMedicalFull timePart timeWork at officeRemote work
$35.05 - $61.35 per hour
...close out documents in accordance with the policies and procedures set forth Coordinate... ...checks ~ Ability to clearly and professionally communicate both verbally and written... ...we offer best-in-class benefits such as medical, dental, vision, paid time off, Employee...PolicyMedicalContract workFor contractorsWork experience placementWork at officeLocal areaFlexible hours$17 per hour
...adhere to business procedure guidelines and policies, and company safety standards... ...Ability to take and follow directions Professional presence "The pay range for this... ...package, in addition to a full range of medical, financial, and/or other benefits, dependent...PolicyMedicalWork at office$131.4k - $197k
...firm, is seeking an Office Administrator for our New York office.... ...of our team of attorneys and professional staff providing a high level... ...interpret and implement firm policies and procedures appropriately... ...health benefit package including medical, dental, and vision. The...PolicyMedicalFull timeTemporary workWork at officeLocal areaRemote work- ...Rate: $45/hr on W2 Benefits: Medical, dental, vision; paid... ...relevant experience providing administrative support to 1 or more executives... ...closely with other administrative professionals and key cross functional... ...to adhere to company policies, exercise sound judgment, effectively...PolicyMedicalWork at officeFlexible hours
- ...registers patients in the NewYork-Presbyterian Medical Group (NYPMG) online system. Obtains... ...arrangements according to financial policies prior to date of service. Counsels' patient... .... Prepares receipts for both NYPMG and professional patient payments. Maintains record of...PolicyMedicalContract workLocal areaRemote work
$31.36 per hour
...Administrative Assistant - People Pfizer is hiring for an Administrative... ...needs ~ Ability and professional demeanor to interface with senior... ...schedule and the Company's policies. Benefits offered include a... ...paid caregiver/parental and medical leave, and health benefits...PolicyMedicalHourly payWork at officeWeekend work$27 - $29 per hour
...Assisting guests efficiently, courteously and professionally at all times Maintain a high level of... ...benefit package, which includes medical/dental/vision plans, life insurance, ST/... ...you are valued and our Associate First policy is a way of life. Utilize your hospitality...PolicyMedicalHourly payFull time$36.7k
...Communicates with other academic or administrative departments or outside... ...or to a small group of professional, managerial, or technical personnel... ...per FERPA and policies. Serve as the initial point... ...student records in an electronic medical record system (Titanium). Organize...PolicyMedicalFull timeContract workPart timeWork experience placementSummer internshipWork at office- ...Physical Therapy Office Administrator The Physical Therapy Office... ...with relevant regulations and policies. The role requires a combination... ...scheduling, billing, medical records management, and inventory... ...environment and promoting professional growth. Schedule and coordinate...PolicyMedicalWork at officeShift work
$100k - $120k
...Assistant will provide an efficient and professional administrative support service to members of the... ...understanding of internal systems and policies. General administrative support including... ...pregnancy, childbirth or related medical conditions), national origin,...PolicyMedicalWork at officeLocal areaFlexible hours- ...staff meetings. Engages in ongoing professional development through supervision, peer supervision... ...to hospital-wide and departmental policies and procedures, including those related... ...-Discrimination: Richmond University Medical Center is committed to equality of opportunity...PolicyMedicalMonday to FridayDay shift
$44.1 - $66.2 per hour
...Assistants provide high-quality administrative support to a group of lawyers and professionals in a team environment,... ...benefits we offer: comprehensive medical (PPO and HDHPs), dental and vision... ...visit Legal Information Portal for Holland & Knight LLP's privacy policies.PolicyMedicalTemporary workWork at office- ...capacity OR 2+ years of experience in a professional office environment working in data entry... ...and offsite, following the firm's records policies. Do you have the drive and desire to:... ...property, labor and employment, mass torts, medical and life sciences, political law,...PolicyMedicalWork at office
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