Medical Policy Specialist jobs in Louisiana
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)
Recently Added Medical Policy Specialist jobs
CDBG and Housing Programs Policy Specialist
- CSRS
-
Baton Rouge, LA
FULL_TIME
-
Job Details
Job Location
Baton Rouge LA - Baton Rouge, LA
Description
CDBG and Housing Programs Policy Specialist
Full Time Policy Specialist, Any CSRS Office, US
About CSRS LLC
CSRS, LLC has been leveraging innovation and leadership to improve and revitalize our communities for more than 35 years. With a culture of creative thinking and our background in engineering and architecture we bring the balance between innovative ideas and the technical ability to help communities recover and grow. Establish in 1978, CSRS is a leader in the delivery of infrastructure development, resiliency and recovery program and grants management, planning and affordable housing projects serving public and private entities.
Job Description
CSRS is looking for a skilled and motivated Policy Specialist experienced with affordable housing development, especially programs funded under the U.S. Department of Housing Urban Development (HUD) at the federal, state, or local levels. This role involves leading and supporting projects funded through HUD grant programs such as CDBG, CDBG-DR, CDBG-MIT, HOME-ARP, ESG, or HOME. The CDBG and Housing Programs Policy Specialist will play a critical role in designing, implementing, and managing housing programs to help communities recover, grow, and thrive.
The ideal candidate will be adept at managing the complexities of HUD-funded projects, interpreting federal regulations, and ensuring compliance. Knowledge in tax-credit funded affordable housing structure, finance evaluation and compliance is preferred. The position involves close collaboration with federal grantees, subrecipients, and stakeholders to drive the success of housing initiatives and contribute to recovery efforts as well as the revitalization of communities.
Key Responsibilities- Interpret and summarize federal regulations, including Federal Register Notices and HUD guidelines.
- Monitor federal grantees and subrecipients to ensure compliance with federal standards.
- Provide high-level technical support to HUD grantees and state and local level subrecipients.
- Design and manage federally funded programs in housing, economic development, infrastructure planning, and public services.
- Develop and manage project work plans, ensuring timely completion of tasks.
- Conduct detailed research and analysis to support client and stakeholder needs.
- Prepare comprehensive reports, plans, and assessments.
- Create and deliver presentations to communicate research findings and analyses to clients and stakeholders.
- Assist in the development of client documents, including policies, procedures, and administrative guides.
- Review labor compliance and draft formal communications to clients.
- Provide financial analysis on project budgets, proforma and cash flow projections.
- Develop or review policies and standard operating procedures for compliance with fair market rent limits, affordability periods and occupancy requirements.
- Bachelor’s degree or higher.
- At least five years of experience in fields related to disaster recovery, community development, housing, economic development, infrastructure planning, or public services, particularly those funded by CDBG or HOME programs.
- Demonstrated experience with the Community Development Block Grant (CDBG) programs and other HUD-funded housing programs.
- Experience with affordable housing programs (renter and homeownership).
- Strong understanding of federal, state, and local housing regulations, including CDBG regulations, Fair Housing Act, and other relevant legislation.
- Experience managing projects and programs, including budgeting, reporting, and compliance.
- Proven ability to work collaboratively, communicate effectively, and meet strict deadlines.
- Strong analytical skills with proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
- Excellent verbal and written communication abilities.
- Ability to independently manage multiple tasks with minimal supervision.
- Strong interpersonal skills with the ability to work effectively with diverse stakeholders, including government officials, community organizations, and the public.
- Ability to adapt to changing regulations and program requirements, and to work in a dynamic environment.
- Experience in community engagement and public participation processes.
- Keen attention to detail.
- Expertise in program and project design.
- Experience with coordinating teams and conducting compliance reviews or audits.
- Experience with Low Income Housing Tax Credits.
- Experience with cost reasonableness analysis.
- Experience with federal financial and programmatic compliance monitoring responsibilities.
- Knowledge in sources and uses evaluation for housing developments activities.
- Knowledge in developing HUD grant documentation and responding to audits.
- Knowledge of federal and HUD requirements such as HUD Uniform Relocation Act (URA) requirements, Fair Market Rents, Low-to Moderate-Income (LMI) calculations, Section 3, Davis-Bacon, and Section 508 compliance.
- 3 Days Ago
Research Assistant
- Policy and Research Group
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Orleans, LA
FULL_TIME
- The Policy & Research Group (PRG) aims to improve the economic and social prospects for people through equitable public policy and improved practice. To that end, PRG conducts research and evaluation ...
- 16 Days Ago
Field Data Collector (PPC)
- Mathematica Policy Research
-
Monroe, LA
PART_TIME
- Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public-and private-sector partners to trans...
- 2 Months Ago
Medical Collections Specialist
- All American Medical Louisiana
-
Covington, LA
FULL_TIME
- Role Description This is a full-time hybrid role for a Collections Specialist at All American Medical. This is a commission based role where you get a % of what you collect. As a Collections Specialis...
- 17 Days Ago
Medical Billing Specialist
- United Medical Rehabilitation Hospital
-
Hammond, LA
FULL_TIME
- We are now hiring a Detail-oriented Medical Billing Specialist with at least 3 years of experience managing the revenue cycle to join our team! Should be responsible for the timely billing, follow-up ...
- 18 Days Ago
Management Analyst
- US Office of Field Policy and Management
-
Orleans, LA
FULL_TIME
- Duties The following are the duties of this position at the GS-9. If you are selected at a lower grade level, you will have the opportunity to learn to perform all these duties, and will receive train...
- 18 Days Ago
Medical Policy Specialist jobs at Popular Companies
(Physician) Medical Specialist 2
- Office for People with Developmental Disabilities
-
Thiells, NY
- Job Description Job Description EMPLOYMENT OPPORTUNITY ANNOUNCEMENT EOA #: 23-061RR EOA DATE: March 15, 2024 REPLY BY: S...
- 6/11/2024 12:00:00 AM
Medical Specialist
- U.S. Air Force Reserve
-
- Position Summary Our hundreds of medical facilities around the world are only as good as the staff who run them. Providi...
- 6/10/2024 12:00:00 AM
Bio Medical Specialist
- United Health Services
-
Johnson City, NY
- Bio Medical Specialist, UHS Wilson Medical Center United Health Services is seeking a Bio Medical Specialist to join our...
- 6/10/2024 12:00:00 AM
Medical Specialist 2
- State of New York
-
Tupper Lake, NY
- Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
- 6/9/2024 12:00:00 AM
Medical Specialist 1
- State of New York
-
Tupper Lake, NY
- Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
- 6/9/2024 12:00:00 AM
Medical Specialist 2
- State of New York
-
Thiells, NY
- Please note: State agencies that contact job applicants do not usually request personal or financial information via tex...
- 6/9/2024 12:00:00 AM
Medical Assistant/ Medication Specialist
- Nidraveda PA
-
San Antonio, TX
- Job Description Job Description We are looking for someone with a professional attitude, a dedication to healthcare, and...
- 6/9/2024 12:00:00 AM
Certified Medication Specialist
- Mosaic
-
Beatrice, NE
- Schedule: Full-Time Days, Evenings, Overnights Part-Time Evenings If making a positive impact in the lives of others is ...
- 6/8/2024 12:00:00 AM
About Louisiana
Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico.
The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast.
The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Specialist jobs
$85,459 to $104,310
Most Popular Cities in Louisiana for Medical Policy Specialist Jobs
What does a Medical Policy Specialist do?
Medical Policy Specialist in Norfolk, VA
Guideline 9 – specialist medical procedures provides that applications for the separate representation of children with an intellectual impairment in relation to applications for special medical procedures are not subject to the means test or merits test.
February 20, 2020