4812 medical policy consultant jobs found

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How you will make an Impact: Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and for responses to...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How you will make an Impact: Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and for responses to...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How You Will Make An Impact Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How you will make an Impact: Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and for responses to...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How you will make an Impact: Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles,...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How you will make an Impact: Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and for responses to...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How You Will Make An Impact Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How you will make an Impact: Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and for responses to...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How you will make an Impact: Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and for responses to...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How you will make an Impact: Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and for responses to...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How You Will Make An Impact Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How you will make an Impact: Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and for responses to...

Medical Policy Consultant National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virtual position, and preferred candidates reside within 50 miles of an Elevance Health PulsePoint location. Shift: Monday - Friday 8 am - 4:30 pm EST. The Medical Policy Consultant is responsible for researching and drafting NGS Medical Policy ensuring the use of valid and consistent research methodologies. How You Will Make An Impact Conducts structured research within defined methodologies. Drafts and modifies policies using consistent template tools and criteria. Review new and updated codes for accuracy and consistency. Research relevant studies and review articles for the development of local coverage determinations, coverage articles, and coding guidelines and...

Data Governance Analyst Primary Location: Jackson, Mississippi Hybrid position V-Soft Consulting is currently hiring for a Data Governance Analyst for our premier client in Jackson, Mississippi . Education and Experience Proficiency in Microsoft 365 applications (Word, Excel, Outlook, Teams) and Adobe. Experience in the utilization of Microsoft Purview to: Implement and manage data governance frameworks that enhance organizational efficiency and comply with regulatory standards. Conduct eDiscovery Premium searches Preferred: Working knowledge of laws, regulations and standards governing the management of sensitive data (e.g., HIPAA, HITECH, NIST Standards). WHAT YOULL DO: Job Responsibilities: Microsoft Purview Oversight: Serve as the primary compliance contact for the implementation and oversight of the agencys Microsoft Purview...

Softrams is one of the fastest growing digital services firms in the Washington Metropolitan regions crafting human-centered solutions and empowering digital services with a focus on HX, AI, cloud, DevOps and cyber security. Our offices are located in Leesburg VA, Baltimore MD, and Plano TX, and our teams are spread across the U.S. Recognized as a Top Workplace USA (2024) Recognized as one of the Top Workplaces in Technology (2023, 2021) INC 5000, Fastest growing companies in America (2023, 2022) Washington Business Journal Top 75 Fastest Growing Companies in Greater Washington area 2020 NXT UP - Top Federal Emerging Technology and consulting firms 2020 Inaugural DC Metro’s Most Successful Companies 2020 Washington Technology Fast 50 NVTC Tech 100 (2020, 2019) Job Description:  Softrams is seeking a skilled Human Experience (HX) Lead Strategist to join our dynamic HX Practice. At Softrams, HX encompasses the interconnected experiences individuals...

Full job description Job Details Working Title: Aquatic Invasive Species Management Consultant Job Class: Natural Resources Program Consultant Agency: MN Department of Natural Resources Job ID : 81755 Location : St. Paul Telework Eligible : Yes Full/Part Time : Full-Time Regular/Temporary : Unlimited Who May Apply : Open to all qualified job seekers Date Posted : 11/14/2024 Closing Date : 12/05/2024 Hiring Agency/Seniority Unit : Department of Natural Resources Division/Unit : Ecological & Water Resources Work Shift/Work Hours : Day Shift Days of Work : Monday - Friday Travel Required : Yes, occasionally for meetings Salary Range: $35.43 - $52.53 / hourly; $73,977 - $109,682 / annually Classified Status : Classified Bargaining Unit/Union : 214 - MN Association of Professional Employees / MAPE FLSA Status : Exempt - Professional Designated in Connect 700 Program...

At MFS, you will find a culture that supports you in doing what you do best. Our employees work together to reach better outcomes, favoring the strongest idea over the strongest individual. We put people first and demonstrate care and compassion for our community and each other. Because what we do matters – to us as valued professionals and to the millions of people and institutions who rely on us to help them build more secure and prosperous futures. THE ROLE The Sales Enablement team provides sales leaders and reps with the learning materials, content, and resources to drive growth and success. Partnering with the sales team and broader enablement team, the Senior Consultant will develop and execute impactful, data-driven solutions for transforming the sales process. Success is measured by the overall business impact of these solutions and cross-functional collaboration. WHAT YOU WILL DO Work with sales enablement leadership to develop, execute, optimize and assess...

Department Information This position is open to Colorado state residents and non-residents New employees to the State will be paid biweekly. There are 26 biweekly pay periods in a year. About CDOT Do you want to make a difference in Coloradans’ lives? Do you have a passion for helping people and keeping them safe? At the Colorado Department of Transportation (CDOT), you’ll have the opportunity to do just that. The work our people do contributes to keeping Coloradans and visitors safe and provides freedom, connection, and experience through travel. Please visit our careers page to learn about CDOT and how we are making Colorado a great place to live, work and play, now and for the future! Also, check out our excellent benefits package! CDOT for All CDOT’s strength is our people, and our commitment to our people is to shape, support, and sustain the employee experience, and ultimately, create a supportive workplace where everyone, regardless of...

Job Description ATTENTION ALASKA RESIDENTS ONLY! The Department of Transportation and Public Facilities (DOT&PF) Southcoast Region Design and Engineering Services is looking for an Engineer/Architect 3 to help us Keep Alaska Moving!   The position is currently located in Juneau but is being recruited for Statewide. The pay will be determined based on the  location of the selected candidate and will be discussed at the time of interview.   What you will be doing: This position plans, manages, supervises, and controls all the activities necessary for the development of transportation projects. Preliminary and final design of multiple, large, complex transportation improvements for highways, roads, airports and other public transportation projects. Coordinating the efforts of in-house design staff or private engineering, architecture or other consultants, functional groups within the...

Senior Ground System Architect Back to search results The Aerospace Corporation is the trusted partner to the nation’s space programs, solving the hardest problems and providing unmatched technical expertise. As the operator of a federally funded research and development center (FFRDC), we are broadly engaged across all aspects of space— delivering innovative solutions that span satellite, launch, ground, and cyber systems for defense, civil and commercial customers. When you join our team, you’ll be part of a special collection of problem solvers, thought leaders, and innovators. Join us and take your place in space. At Aerospace, we are committed to providing an inclusive and diverse workplace for all employees to share in our common passion and aspiration – to carry out a mission much bigger than ourselves. The Enterprise Effects...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval , award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more about this agency Help Duties VA Careers - Social Work : https://youtube.com/embed/enRhz_ua_UU Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Social Work : vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Social-Worker-Career-Flyer.pdf FUNCTIONS OF THE POSITION: The incumbent will Evaluate each Veteran's situation, abilities, and capabilities, and arrives at a reasoned conclusion including an...

Under general direction, provides psychological services to groups and individuals and provides advice and consultation to staff members.   DISTINGUISHING CHARACTERISTICS: Staff Psychologist ($3,574.09 - $4,634.23 biweekly) - is the entry-level classification in this job series.  Incumbents have a doctoral degree, are approved by the State of California for licensure as a psychologist but do not yet have a psychology license.  They must perform their duties under the direction of a licensed Senior Psychologist and require supervision under the current rules and regulations of the California psychologist licensing body.  They must be eligible for promotion to Senior Psychologist and, as such, be able to obtain Ventura County Medical Center (VCMC) medical staff privileges through the Department of Psychology.   Senior Psychologist ($3,838.31 - $5,003.73 biweekly) - is the licensed professional level classification in this job series. Incumbents independently perform...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval , award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Learn more about this agency Help Duties VA Careers - Social Work : https://youtube.com/embed/enRhz_ua_UU Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Social Work : vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Social-Worker-Career-Flyer.pdf FUNCTIONS OF THE POSITION: The incumbent will Evaluate each Veteran's situation, abilities, and capabilities, and arrives at a reasoned conclusion including an...