Talent.com
Texas Licensed Policy Manager

Texas Licensed Policy Manager

VirtualVocationsToms River, New Jersey, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Manager, Policy Optimization to join their Clinical Policy team.

Key Responsibilities

Track policy performance and identify areas for process changes to enhance affordability and efficiency

Develop internal tracking systems to organize projects across timelines and deliverables

Create evidence-based recommendations for policy modifications and maintain industry best practices

Required Qualifications

Bachelor's degree in a relevant field (e.g., B.S.Pharm, PharmD, PA, NP, APRN, BSN, or RN)

Active, unrestricted clinical license

4+ years of experience with clinical policy, particularly in health insurance

4+ years of experience in utilization management and / or clinical operations

Working knowledge of medical and pharmacy coding and claims

serp_jobs.job_alerts.create_a_job

Policy Manager • Toms River, New Jersey, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Policy and Legislative Director

Policy and Legislative Director

Sierra ClubTrenton, NJ, US
serp_jobs.job_card.full_time
Policy and Legislative Director.Energy Policy and Legislative Director.New Jersey Chapter / Hybrid in Trenton, NJ (minimum one day per week in office). At the Sierra Club, we believe in the power of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Program Manager

Claims Program Manager

Crum & ForsterEatontown, NJ, US
serp_jobs.job_card.full_time
Crum & Forster Program Manager.The Operations department of the Crum & Forster Accident & Health segment is looking for a multi-talented individual to join the Operations team.This Program Manager ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Director, Pricing Policy and Analytics - Job ID : 1593

Director, Pricing Policy and Analytics - Job ID : 1593

Ascendis PharmaPrinceton, NJ, US
serp_jobs.job_card.full_time
Director Of Pricing Policy And Analytics.Ascendis Pharma is a fast-growing biopharmaceutical company with locations in Denmark, United States, Germany, United Kingdom, Italy, Spain, and France.Guid...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Tax Senior / Manager

Tax Senior / Manager

Crete Professionals AllianceAsbury Park, NJ, US
serp_jobs.job_card.full_time
Founded in 2023, Crete Professionals Alliance (Crete PA) delivers big four firepower to local American firms.Our rapid growth has made us a magnet for leading firms nationwide, eager to join our re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Senior Program Manager - Multifamily

Senior Program Manager - Multifamily

Resource InnovationsNJ, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Senior Program Manager - Multifamily, to join our growing team in New Jersey.Program Manager with Resource Innovations, you will work in a dynamic environment leading and managing a team of outreac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Specialist - Management Liability

Claims Specialist - Management Liability

Axis CapitalRed Bank, NJ, United States
serp_jobs.job_card.full_time
This is your opportunity to join AXIS Capital - a trusted.We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders.We also ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Associate Director, Regulatory Policy

Associate Director, Regulatory Policy

Bristol Myers SquibbPrinceton, NJ, US
serp_jobs.job_card.full_time
Associate Director Regulatory Policy.Those aren't words that are usually associated with a job.But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens ever...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Director, NERC Compliance

Director, NERC Compliance

NRG EnergyPrinceton, NJ, US
serp_jobs.job_card.full_time
As a member of the Regulatory Compliance NERC Team, the Director NERC Compliance provides essential leadership, guidance, and support for NRG's NERC Operations and Planning (O&P) Compliance Program...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Program Manager

Program Manager

Syntricate TechnologiesRed Bank, NJ, US
serp_jobs.job_card.full_time
Four month contract, possible remote with travel to Red Bank, NJ or Miami, Florida (five days on site).Web Cam Interview As a Program Manager for Strategic Projects within the Product Operations te...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Tax Manager - Private Client Services (PCS)

Tax Manager - Private Client Services (PCS)

EisnerAmperPrinceton, NJ, United States
serp_jobs.job_card.full_time
At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact.Whether you are starting out in your career or taking your next step as a season...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Tax Senior Manager - Private Client Services (PCS)

Tax Senior Manager - Private Client Services (PCS)

EisnerAmperPrinceton, NJ, United States
serp_jobs.job_card.full_time
At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact.Whether you're starting out in your career or taking your next step as a seasone...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Governance, Risk, & Compliance Manager

Governance, Risk, & Compliance Manager

FragomenMatawan, NJ, US
serp_jobs.job_card.full_time
Governance, Risk & Compliance Manager.Fragomen, an AM Law 100 Firm and the leading global immigration services provider, is seeking candidates for a critical role in data privacy and security.At Fr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Technical Lead, Manager (Southeast)

Technical Lead, Manager (Southeast)

Automated Control Concepts LLCNeptune City, NJ, US
serp_jobs.job_card.full_time
See your future in our future!.InflexionPoint is an independent systems integrator specializing in automation, process control, manufacturing intelligence, cybersecurity, and industrial networking....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Regional Liaison Supervisor

Regional Liaison Supervisor

AmentumTrenton, NJ, US
serp_jobs.job_card.full_time
Amentum provides analytic, consulting, and staffing support to the U.Government including the Department of Homeland Security and similar Government clients. The Homeland Group provides a range of h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Virtual Policy Consultant

Virtual Policy Consultant

AO Globe Life - Rachel EichingerHammonton, NJ, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
AO Globe Life Location : 100% Remote (U.Full-Time Compensation : $90,000–$120,000 / year (Commission-Based) Overview AO Globe Life is hiring qualified individuals to join our mission-...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Specialist, Accident and Health (A&H)

Claims Specialist, Accident and Health (A&H)

Axis CapitalPrinceton, NJ, US
serp_jobs.job_card.full_time
Accident And Health Claims Specialist.This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Mitigation Manager

Mitigation Manager

IICRCHainesport, NJ, US
serp_jobs.job_card.full_time
What does a Mitigation Manager with Paul Davis do?.Lead a team of hardworking individuals serving others within your community. Make a difference for others that have had a disaster strike their pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Program Manager - Ethics & Compliance

Program Manager - Ethics & Compliance

NJEDATrenton, NJ, US
serp_jobs.job_card.full_time
Manages the Authority's compliance with the New Jersey Conflict of Interest Law (COIL), providing counsel to management, staff, and board members of NJEDA's five related entities (FMERA, CSIT, CCRC...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Program Manager, Lead - Americas

Program Manager, Lead - Americas

DoverPrinceton, NJ, US
serp_jobs.job_card.full_time
Program Manager, Lead - Americas.Systech International, a Dover Company, a trailblazer in safeguarding global supply chains through digital traceability, serialization and compliance.As the first c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Global Regulatory Affairs Compliance and Planning, Sr. Manager

Global Regulatory Affairs Compliance and Planning, Sr. Manager

Kyowa KirinPrinceton, NJ, US
serp_jobs.job_card.full_time
Kyowa Kirin is a global specialty pharmaceutical company that applies state-of-the-art biotechnologies to discover and deliver novel medicines in four areas of unmet need : oncology, nephrology, imm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30