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Jobs Medical Policy Analyst. jobs for Medical Policy Analyst
Jobs Medical Policy Analyst!
Jobs Medical Policy Analyst. jobs for Medical Policy Analyst
Jobs Medical Policy Analyst!Jobs & AI searches
Cherbourg, Normandie, France
Normandie, France
ALTA IT Services
Temps plein
ALTA IT Services is staffing a 12+month contract opportunity for a Medical Policy Analyst to support a leading health insurance customer. Under guidance of department Manager, the Medical Policy Analyst will research, develop, and coordinate the distribution and dissemination of less complex medical policies in support of corporate philosophy, provider and member contracts, and accepted standards of medical practice.
**100% remote**
**Must have: RN - Registered Nurse - State Licensure and/or compact State Licensure**
ESSENTIAL FUNCTIONS:
- Performs in-depth research on topics identified as actual or potential medical policies.
- Evaluates current peer-reviewed articles and other literature to determine its appropriateness for support of and inclusion in policies.
- Assesses and communicates impact of information on company business or medical policy.
- Writes evidenced-based medical policies/operating procedures in relation to legislative mandates, new technology assessments, contractual provisions, corporate philosophy, and accepted standards of medical practice for them to be applied uniformly and consistently by across all lines of business.
- Maintains the Medical Policy Reference Manual (MPRM) including resource files and publications.
- Ensures dissemination of policies and procedures to and from the Medical Policy Implementation Team and to other appropriate departments.
- Ensures maintenance and accuracy of the on-line versions of the MPRM, as well as respond to questions from business units throughout the organization providing written clarification of existing policies, new policy development, emerging studies, trends and other interest related to medical policy guidelines
PREFERRED QUALIFICATIONS:
Bachelors or Master's degree in Nursing or related health care discipline.
Coursework in technical writing and statistics.
KNOWLEDGE, SKILLS AND ABILITIES (KSAs):
Ability to analyze essential facts, make timely and sound decisions, resolve performance and job-related issues. Demonstrated desire to share knowledge and work as a team.
Excellent written and verbal communication skills, and the ability to present to internal clients of all levels.
Working knowledge of medical insurance and managed care principles and knowledgeable of CPT and ICD-10 coding systems. Knowledge of all types of medical necessity decisions including various places of service and provider types.
Knowledge of principles, practices, evidence-based guidelines and standardized processes and procedures for evaluating medical support operations business practices.
LICENSES AND CERTIFICATIONS:
RN - Registered Nurse - State Licensure and/or compact State Licensure, REQUIRED
Certified Coder (CCS or CPC) - AHIMA or AAPC -PREFERRED
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Medical Policy Analyst
CBSA Officers, i.e. the Canadian Customs and Border Police
Sexual promiscuity; sleeping around. [I am no longer with Peter, he would not stop playing musical beds.].
Omee polony is Polaris slang for a homosexual man.
Radical is slang for very good; excellent.
Polish (shortened from polish and gloss) is London Cockney rhyming slang for masturbate (toss).
The police.
awesome; neat...That car is radical! (Rad for short)
Antique medical terms for homosexuality.
Polack is derogatory slang for a Pole or a person of Polish descent.
Spam medal is military slang for a medal awarded to all members of a force.
The action of visually scanning an area that needs to be picked up or cleaned up. eg. "His punishment was to police the parade square."
Bolic is slang for any anabolic steroid.
To polish off is slang for to finish completely.
cool,awesome,sweet. "that was RADICAL man."
(Med-cap) Medical Civil Action Program. Pg. 515
Polony is British slang for a girl.
Apple polish is American slang for flattery.
[medical nickname] amyl nitrite ampules
Medical Policy Analyst
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