Healthcare Policy Advisor

1 week ago


Shelbyville, Tennessee, United States Elevance Health Full time

Medical Policy Consultant at Elevance Health

Elevance Health is a prominent organization in the management of government contracts within the healthcare domain, collaborating closely with the Centers for Medicare and Medicaid Services to improve federal health initiatives.

Position Overview:

  • Accountable for thorough research and development of NGS Medical Policy, ensuring the application of validated methodologies.
  • Conducts systematic research adhering to established methodologies.
  • Drafts and revises policies utilizing standardized templates and criteria.
  • Evaluates codes for precision and consistency.
  • Investigates pertinent studies for policy formulation.
  • Partners with Medical Directors for policy clarifications.
  • Engages in policy development based on research outcomes.

Essential Duties:

  • Possesses a BA/BS degree in a relevant field with a minimum of 2 years of experience or equivalent qualifications.
  • Willingness to travel may be necessary.
  • Demonstrates strong coding knowledge.
  • Preferred Qualifications: RN license, expertise in medical research, and technical writing skills.
  • Exhibits excellent communication abilities and meticulous attention to detail.

Become part of a proactive team committed to enhancing healthcare policies and positively influencing the healthcare landscape.



  • Shelbyville, Tennessee, United States Elevance Health Full time

    Healthcare Policy Advisor at Elevance Health Elevance Health is a prominent organization in the management of government contracts within the healthcare domain, collaborating closely with federal agencies to improve health programs. Position Overview: Accountable for thorough research and development of NGS Medical Policy, ensuring the application of...


  • Shelbyville, Tennessee, United States Elevance Health Full time

    Medical Policy Consultant at Elevance Health Elevance Health is a prominent organization engaged in the management of government contracts within the healthcare domain, collaborating closely with the Centers for Medicare and Medicaid Services to improve federal health initiatives. Position Overview: Accountable for thorough research and development of NGS...

  • Nutrition Therapist

    7 days ago


    Shelbyville, Tennessee, United States Compass Group Careers Full time

    Job SummaryWe are seeking a highly skilled Clinical Dietitian to join our Nutrition Team in an acute care medical center.Key Responsibilities:Provide medical nutrition therapy, including nutrition assessment, diet modification, nutrition education, and intervention for the patient population.Follow all guidelines as outlined within the Company Diet Manual...


  • Shelbyville, Tennessee, United States Crestview Healthcare and Rehabilitation Full time

    Crestview Healthcare and RehabilitationSign-On Incentive: $10,000Shift Type:Full-Time Day Shift PositionWelcome to Crestview!Nestled in a vibrant community, our facility is dedicated to delivering exceptional care to our residents while ensuring staff satisfaction. We pride ourselves on being more than just a healthcare facility; we are a supportive...


  • Shelbyville, Tennessee, United States Concordance Healthcare Solutions Full time

    At Concordance Healthcare Solutions, we believe that each team member makes a difference in driving our purpose of positively impacting lives forward. Concordance is committed to our guiding principles of financial stewardship, accountability, forward thinking, aligned relationships and an inclusive culture. This is done through maintaining an unwavering...


  • Shelbyville, Tennessee, United States TeamHealth Full time

    **About TeamHealth**TeamHealth is a leading healthcare organization that provides comprehensive care to patients across the United States. Our team of dedicated healthcare professionals is committed to delivering high-quality patient care and exceptional service.**About the Role**We are seeking exceptional OB/Gyn physicians to join our team at Major...


  • Shelbyville, Tennessee, United States Fast Pace Health Full time

    **About Fast Pace Health**We are a leading healthcare organization dedicated to providing high-quality medical services to our community. As a Medical Director Physician Assistant, you will play a crucial role in leading our team of healthcare professionals and contributing to the success of our organization.**Job Summary**We are seeking a highly skilled and...


  • Shelbyville, Tennessee, United States Vanderbilt University Medical Center Full time

    Opportunity:Become a vital member of a progressive healthcare institution committed to enhancing health and wellness through exceptional patient care, education, and research initiatives. Join a diverse team that values excellence, innovation, and inclusivity.Role Overview:Deliver comprehensive patient care under the supervision of healthcare professionals,...


  • Shelbyville, Tennessee, United States Vanderbilt University Medical Center Full time

    About Vanderbilt University Medical Center: Situated in Nashville, Tennessee, VUMC stands at the forefront of education, research, and patient care. Our community comprises diverse professionals dedicated to making a significant impact in the world. Here, your skills will be appreciated, your knowledge will grow, and your capabilities will be put to the...


  • Shelbyville, Kentucky, United States Elevance Health Full time

    Position Title: Clinical Policy Advisor Job Overview: The Clinical Policy Advisor plays a crucial role in the formulation and refinement of medical policies within National Government Services, a key member of the Elevance Health Companies, Inc. family. Our organization is dedicated to managing government contracts for Medicare and collaborating with the...


  • Shelbyville, United States Elevance Health Full time

    Anticipated End Date: 2024-08-26 Position Title: Medical Policy Consultant Job Description: 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...


  • Shelbyville, Kentucky, United States First Financial Bancorp Full time

    Join Our Team at First Financial BancorpAt First Financial Bancorp, we prioritize doing the right things at the right time for our clients. As we continue to grow, we invite qualified candidates to consider joining our team.Position OverviewThe Client Relationship Banker will engage with current clients and seek new opportunities to enhance client...


  • Shelbyville, Indiana, United States Matrix Medical Network Full time

    Overview:Nurse Practitioner – PRN/Part TimeHome Risk AssessmentsAbout Us:Matrix Medical Network provides a comprehensive array of clinical services and established expertise that empower primary care providers and the vulnerable health plan members we engage with daily to better manage their health from the comfort of their homes. With a strong foundation...


  • Shelbyville, Kentucky, United States German American Full time

    Position Title: Mortgage Lending SpecialistOverview of Responsibilities:We are seeking a driven mortgage professional dedicated to delivering exceptional client service within our lending division. As a Mortgage Lending Specialist, your role will involve gathering and evaluating clients' financial information, serving as a trusted consultant to recommend...


  • Shelbyville, Indiana, United States Concordance Healthcare Solutions Full time

    At Concordance Healthcare Solutions, we recognize that every team member plays a crucial role in fulfilling our mission to enhance lives positively. Our organization is dedicated to our core values of financial responsibility, accountability, innovative thinking, collaborative relationships, and fostering an inclusive environment. We achieve this by...

  • Locum Physician

    3 months ago


    Shelbyville, United States LocumJobsOnline Full time

    LocumJobsOnline is working with LocumTenens.com to find a qualified Obstetrics and Gynecology MD in Shelbyville, Indiana, 46176!About The PositionA 46-bed hospital is seeking an OB/GYN for locum tenens coverage.The facility is located in Shelbyville, Indiana.The EMR is Meditech. The locum will be rounding. Shifts are Monday - Friday from 7pm-7am. The...


  • Shelbyville, United States German American Bancorp Full time

    Job Title: 1633 FT Mortgage Loan Originator - Shelbyville, KY Summary of Duties and Responsibilities: We are looking for a sales-oriented mortgage professional to provide outstanding customer service in our mortgage lending division.As a Mortgage Loan Originator, you will collect and analyze the customer's financial profile, and acting as a trusted advisor,...


  • Shelbyville, Kentucky, United States First Financial Bancorp Full time

    Join Our Team at First Financial BancorpAt First Financial Bancorp, we prioritize integrity and relevance in our services. We invite you to explore a rewarding career as a Consumer Banker where you will play a vital role in enhancing client relationships and driving business growth.Key Responsibilities:Facilitate account openings and maintenance...

  • Consumer Banker I

    1 month ago


    Shelbyville, United States First Financial Bancorp Full time

    We do the right things, right now. We do them in a way that is relevant to our clients. Become a part of our history as it continues to be written! If you are interested and qualified for this role, we invite you to apply. The Consumer Banker will work with existing FFB clients and prospect for new FFB clients to deepen client relationships by both booking...

  • Beautician

    1 month ago


    Shelbyville, United States Crestview Healthcare and Rehabilitation Full time

    Crestview Healthcare and Rehabilitation - Crestview Healthcare and Rehabilitation is seeking a Beautician!        Nestled in the heart of Shelbyville, sits our warm and lively home. Our center strives to provide top quality care to our residents and staff satisfaction! We are more than just a care center; we are a close-knit community made up of...

  • Senior Accountant

    3 weeks ago


    Shelbyville, United States Nashwood Corporation Full time $75,000 - $85,000

    Job DescriptionJob DescriptionWe are seeking a highly skilled and detail-oriented accounting professional to manage the personalbookkeeping and accounting for a private family, along with overseeing similar responsibilities for thehospitality and entertainment business. This role requires an individual who is discrete, organized, andcapable of managing a...

  • Sous Chef

    3 weeks ago


    Shelbyville, United States Forefront Healthcare & Culinary Services Full time

    Job DescriptionJob DescriptionCompany DescriptionForefront Healthcare is unique, experienced, and specialized in serving the continuum of care. With finely tailored, high-quality culinary and support services, Forefront helps its partners elevate the patient and resident experienceJob DescriptionCome elevate your career with our company that has won the #1...


  • Shelbyville, United States Waldron Rehabilitation and Healthcare Center Full time

    Waldron Rehabilitation and Healthcare Center - SUMMARY: The Certified Nursing Assistant (CNA) is responsible for providing resident care and support in all activities of daily living and ensures the health, welfare and safety of all residents. ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide assistance with serving meals and feeding; providing fresh water and...


  • Shelbyville, United States Aveanna Healthcare LLC Full time

    ** PRN or Part Time Home visits needed - Pay up to $85 Per Visit **Position Overview The Speech Therapist (ST) must be client-focused, have a passion for patient outcomes, and have the skill of motivating and influencing employees. The Speech Therapist works under the supervision of the Therapy Manager to develop and implement care plans for their clients...


  • Shelbyville, United States McGowan Insurance Group Full time

    Job DescriptionJob DescriptionAbout UsMcGowan Insurance Group has a concentrated geographic footprint in the Indianapolis, IN area with a diverse offering of property and casualty, commercial and personal lines, bonding, and employee benefits, along with the value-added benefits in regulatory compliance and advisory services. We are a family-owned insurance...


  • Shelbyville, United States Crestview Healthcare and Rehabilitation Full time

    Crestview Healthcare and Rehabilitation - Shift Type: Full Time 2nd shift and PRN CNAs Welcome to Crestview! Nestled in the heart of Shelbyville, sits our warm and lively home. Our center is focused on providing top quality care to our residents and staff satisfaction! We are more than just a nursing facility; we are a close-knit community made up of...

  • Activity Director

    1 month ago


    Shelbyville, United States Magnolia Health Systems Full time

    S are a valuable member of our health care team who plan, direct and coordinate appropriate resident activity programs, using the philosophy, objectives and policies of the facility. About us: Especially Kidz is a pediatric skilled nursing facility l Director, Management, Healthcare, Program


  • Shelbyville, Indiana, United States Magnolia Health Systems Full time

    Position Overview:As a key contributor to our healthcare team, you will be responsible for planning, directing, and coordinating engaging activity programs tailored for residents. Your role will be guided by the core philosophy, objectives, and policies of our facility.About Magnolia Health Systems:Magnolia Health Systems is dedicated to providing...

  • Travel Nurse RN

    3 days ago


    Shelbyville, Kentucky, United States Travel Nurse Source Full time

    About the PositionTravel Nurse Source is working with FlexCare Medical Staffing to find a qualified OR RN for a travel nursing opportunity in Kentucky.Pay Information$2,041 per weekJob RequirementsValid RN LicenseBenefitsMaxPay - our commitment to offer the maximum pay package without making you negotiate, for every position, every time, right from the...