Career Pathway
There are no shortcuts to reaching your full potential.
But we do know a really good path.
**Alert** If you receive an email purporting to be an “Employment Opportunity” or "Interview Request" asking that you click on a link or download anything from Yahoo, Google, or any other source the email is fraudulent and does not represent legitimate contact with an employer or MGMA for a potential employment opportunity.
Medical Policy Administrator - 033381
Health First
To be fully engaged in providing No Harm / Quality, Customer Experience, and Stewardship by developing and maintaining Medical Policies that define medical necessity under Health First benefit plans. The position creates value by maximizing operational effectiveness in the Utilization Management area, ensuring consistent and appropriate decision-making and minimizing legal risk. Medical Policy Administration involves the analysis of health data, clinical research, cost-effectiveness, and health policy, with the development of professional written Policies and other communication tools. Generally works under specific deadlines and frequently handles multiple complex projects, operating with minimal supervision.
|
Qualifications:
|
Chief Administrator - Department of Medicine | Milwaukee, Wisconsin |
Medical College of Wisconsin | Today |
Chief Administrator - Department of Pediatrics | Milwaukee, Wisconsin |
Medical College of Wisconsin | Today |
Practice Administrator | Kissimmee, Florida |
Confidential | Yesterday |
Error
