Policy Change Director jobs in Michigan
Policy Change Director manages all aspects of insurance policy changes according to company guidelines. Designs and implements procedures used for expediting policy changes and the calculations used to determine associated costs. Being a Policy Change Director develops, implements, and communicates policies and practices concerning policy changes and related costs. Requires a bachelor's degree. Additionally, Policy Change Director typically reports to top management. The Policy Change Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Policy Change Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added Policy Change Director jobs
Medical Director - Medical Policy (Medicare)
- BCBSM Career Section
-
Detroit, MI
FULL_TIME
-
Responsible for providing leadership and broad strategic direction in the area of Senior Services particularly PPO and HMO Medicare and Medicare Advantage lines of business. Responsible for corporate policy interpretation, recommendation and review within recognized area of responsibility.
Responsible for providing leadership and broad strategic direction for one or more defined medical areas or functions. Responsible for corporate policy interpretation, recommendation and review within recognized area of responsibility.- Provide high level oversight, leadership and direction for one or more defined medical areas or functions.
- Interpret, recommend and review corporate policy within recognized area of responsibility.
- Refine conceptual framework and provide broad strategic direction.
- Develop and approve strategic and operational plans for assigned units or area of responsibility.
- Impact the performance of BCBSM including short term as well as long term effects on major business units.
- Other duties as assigned.
"Qualifications"
- Doctorate from an accredited school of medicine (M.D.) or osteopathy (D.O.) required.
- Ten (10) year's recent clinical experience in area of specialization plus utilization review experience.
- Current unrestricted state of Michigan doctor of medicine (M.D.) or doctor of osteopathy (D.O.) license.
- Board certified or board eligible and working towards certification in a specialty approved by the American
- Board of Medical Specialists or the American Board of Osteopathy.
- Certification in Utilization Review preferred.
- Knowledge of BCBSM, providers, services and facilities preferred.
- Strong teaching and communication skills.
- Other related skills and/or abilities may be required to perform this job.
Departmental Preferences / Summary:
Five (5) years of experience and in utilization review with strong understanding of CMS regulations not limited to NCD and LCD, Medicare product cycle and benefit design requirements.
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. - 14 Days Ago
Sorority House Director
- House Director Professionals
-
East Lansing, MI
CONTRACTOR,FULL_TIME
- Sigma Kappa is currently seeking a qualified candidate to fill the role of Sorority House Director. Salary, lodging, and meals are provided. This position requires the individual to live in the house,...
- 14 Days Ago
Regional Director of Maintenance
- Regional Director of Maintenance
-
Alpena, MI
FULL_TIME
- Regional Director of Maintenance MediLodge is proud to have received the 2023 Michigan Employer of the Year Award through the MichiganWorks! Association! Are you looking for a rewarding career and a s...
- 27 Days Ago
Oil Change Technician
- Oil Change shop
-
Ferndale, MI
PART_TIME,FULL_TIME
- HIRING IN detroit,ferndale,warrenLooking for experienced oil change technician, call248 955 3315-Must have experience changing oil in a shopIF BUSY WE MAY NOT ANSWER PHONE CALL, TO ENSURE A CALL BACK ...
- 19 Days Ago
Insurance Agent
- My Policy Shop
-
Grand Rapids, MI
FULL_TIME
- About us Welcome to My Policy Shop. The insurance agency for Health, Medicare, Life, and Retirement Happiness. We are a professional, fast-paced, customer-centric, yet fun and rewarding health and lif...
- 2 Months Ago
Oil Change Technician
- Performance Plus Quick Oil Change Centers
-
Lowell, MI
PART_TIME
- Performance Plus of Lowell is hiring motivated Oil Change Technicians. Wages start between $13.00-$14.00 per hour depending upon experience! We offer real opportunity for quick advancement. Customer s...
- 3 Days Ago
Policy Change Director jobs at Popular Companies
Director, Finance Change Management
- Nike, Inc.
-
Beaverton, OR
- Nikes Functional Strategy & Enablement (FS&E) organization provides our Global Finance function with end-to-end transfor...
- 6/11/2024 12:00:00 AM
Vice President of Operations
- Careerbuilder-US
-
Boston, MA
- Our client is looking for a Vice President of Operations. Job Summary Lead the implementation of operational strategies ...
- 6/11/2024 12:00:00 AM
Director Of Operations
- Careerbuilder-US
-
Jacksonville, FL
- Our client is looking for a Director of Operations. Job Summary Lead the implementation of operational strategies and ob...
- 6/11/2024 12:00:00 AM
Director, Transformation Change Management
- McDonald's
-
Chicago, IL
- McDonald’s is proud to be one of the most recognized brands in the world, with restaurants in over 100 countries that se...
- 6/10/2024 12:00:00 AM
Vice President of Operations
- Careerbuilder-US
-
Indianapolis, IN
- Our client (an international consumer product company) is looking for a Vice President of Operations. Job Summary Lead t...
- 6/10/2024 12:00:00 AM
Program Manager IV
- Pyramid Consulting, Inc
-
Charlotte, NC
- Immediate need for a talented Program Manager IV. This is a 18+ months Contract opportunity with long-term potential and...
- 6/7/2024 12:00:00 AM
Director, Organization Change Management
- KPMG
-
New York, NY
- Business Title: Director, Organization Change Management Requisition Number: 111639 - 68 Function: Tax Services Area of ...
- 6/7/2024 12:00:00 AM
Director, Organization Change Management
- KPMG
-
Short Hills, NJ
- Business Title: Director, Organization Change Management Requisition Number: 111639 - 61 Function: Tax Services Area of ...
- 6/7/2024 12:00:00 AM
About Michigan
Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Policy Change Director jobs
$102,077 to $136,239
Most Popular Cities in Michigan for Policy Change Director Jobs
What does a Policy Change Director do?
Policy Change Director in Eugene, OR
The Obama administration’s reversal last month of a 17-year-old policy should mean more Medicaid dollars for school-based health programs for combating chronic diseases, such as asthma.
December 10, 2019
Policy Change Director in San Jose, CA
The CMS policy would only apply to new prescriptions.
December 15, 2019
Changing such policy is one strategy for either implementing interventions or getting them funded.
January 30, 2020
Policy Change Director in Biloxi, MS
Group Policy is the center of administration for Microsoft Active Directory (AD) domain service.
December 23, 2019