Talent.com
Maryland Licensed Medical Policy Analyst
Maryland Licensed Medical Policy AnalystVirtualVocations • Astoria, New York, United States
Maryland Licensed Medical Policy Analyst

Maryland Licensed Medical Policy Analyst

VirtualVocations • Astoria, New York, United States
job_description.job_card.variable_days_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 Medical Policy Analyst (Remote).

Key Responsibilities

Conduct in-depth research and evaluate medical literature for policy revisions

Collaborate with the Medical Director to revise medical policies and procedures

Maintain the Medical Policy Reference Manual and ensure proper dissemination of policies

Required Qualifications

Bachelor's Degree in Nursing, Public Health, English, or related field, or 4 years of relevant work experience in lieu of a degree

3 years of clinical experience in Medical Surgical, Mental Health, or related fields

Experience in research methodology and systematic evaluation of medical literature

Registered Nurse (RN) state licensure required

Certification as a Professional Coder (CPC) preferred

serp_jobs.job_alerts.create_a_job

Policy Analyst • Astoria, New York, United States

Job_description.internal_linking.related_jobs
Internal Medicine

Internal Medicine

The Inline Group • Belmar, New Jersey, US
serp_jobs.job_card.full_time
Internal Medicine physician employment in New Jersey : The Inline Group -.Hours : Monday - Friday 9 am - 5 pm.Average Patients seen : 40-50 injections per day. Compensation : - First year salary of $...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Director - MN Licensed

Medical Director - MN Licensed

VirtualVocations • Newark, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Director for Medical Claims Review, working remotely.Key Responsibilities Conduct coverage reviews based on individual member plan benefits and national policie...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Clinical Analyst

State Licensed Clinical Analyst

VirtualVocations • Astoria, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Clinical Analyst to combine clinical data expertise with relationship management to ensure accurate claims processing and optimize carrier performance.Key Responsi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Internal Medicine

Internal Medicine

CompHealth • Stamford, Connecticut, US
serp_jobs.job_card.full_time
Internal Medicine physician employment in Connecticut : Stamford, CT, is an ideal place for physicians to practice due to its strong healthcare infrastructure, affluent and diverse patient populati...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Florida Licensed Medical Director

Florida Licensed Medical Director

VirtualVocations • Jackson Heights, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Director - Licensed and Residency in Florida - Remote.Key Responsibilities Conduct coverage reviews and render coverage determinations based on member plan bene...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Ohio Licensed Epic Analyst II

Ohio Licensed Epic Analyst II

VirtualVocations • Bronx, New York, United States
serp_jobs.job_card.full_time
A company is looking for an IT Epic Analyst II.Key Responsibilities Design, implement, maintain, and support assigned Epic software applications Plan implementation and upgrades of clinical syst...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Internal Medicine Physician Position in Stamford, Connecticut

Internal Medicine Physician Position in Stamford, Connecticut

HealthEcareers - Client • Stamford, CT, USA
serp_jobs.job_card.full_time
Stamford, CT, is an ideal place for physicians to practice due to its strong healthcare infrastructure, affluent and diverse patient population, and proximity to top-tier medical institutions in th...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Pennsylvania Licensed Medical Assistant

Pennsylvania Licensed Medical Assistant

VirtualVocations • Paterson, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Assistant for Ambulatory Virtual Programs.Key Responsibilities Assist physicians and practitioners with routine medical procedures such as blood draws, vital si...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Ohio Licensed Pre-Payment Claims Analyst

Ohio Licensed Pre-Payment Claims Analyst

VirtualVocations • Astoria, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Pre-Payment Claims Analyst to analyze pharmacy claim data and identify overpayments.Key Responsibilities Research and analyze pre-payment pharmacy claim data to identif...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Medical Director

State Licensed Medical Director

VirtualVocations • Astoria, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Director / Physician Reviewer.Key Responsibilities Review hospital medical records for DRG Clinical Validation and other review activities Develop and update cli...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
California Licensed Actuarial Analyst

California Licensed Actuarial Analyst

VirtualVocations • Jamaica, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Actuarial Analyst to analyze financial performance and lead rate development efforts.Key Responsibilities Analyze financial performance of ACA lines of business ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Associate Medical Director

State Licensed Associate Medical Director

VirtualVocations • Flushing, New York, United States
serp_jobs.job_card.full_time
A company is looking for an Associate Medical Director - PRN (Remote U.Key Responsibilities Oversee clinical decision-making aspects of the Utilization Management program Collaborate with Region...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Family Medicine

Family Medicine

CompHealth • Stamford, Connecticut, US
serp_jobs.job_card.full_time
Family Practice physician employment in Connecticut : Stamford, CT, is an ideal place for physicians to practice due to its strong healthcare infrastructure, affluent and diverse patient population...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Family Medicine

Family Medicine

The Inline Group • Belmar, New Jersey, US
serp_jobs.job_card.full_time
Family Practice physician employment in New Jersey : The Inline Group -.Hours : Monday - Friday 9 am - 5 pm.Average Patients seen : 40-50 injections per day. Compensation : - First year salary of $27...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
MD Appeals Medical Director

MD Appeals Medical Director

VirtualVocations • Elizabeth, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for an Appeals M.Member Appeals to perform clinical reviews and adjudications of appeals and grievances cases. Key Responsibilities Conduct individual case reviews for appeals...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Internal Medicine

Internal Medicine

Team Health • Holmdel, New Jersey, US
serp_jobs.job_card.full_time
Internal Medicine physician job in New Jersey : Are you a hospitalist physician with a passion for providing the highest quality of care? If so, TeamHealth needs you to join our dynamic team in Hol...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager

Texas Licensed Clinical Policy Manager

VirtualVocations • Bronx, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Clinically evaluate vendor policy sets to ensure compliance with internal and external ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Family Medicine

Family Medicine

Tandym Health • Atlantic Highlands, New Jersey, US
serp_jobs.job_card.full_time
Family Medicine physician employment in New Jersey : .A private practice in Monmouth County is actively seeking a patient-oriented and compassionate Primary Care Physician to join their growing staf...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted