Maryland Licensed Medical Policy AnalystVirtualVocations • Hayward, California, United States
Maryland Licensed Medical Policy Analyst
VirtualVocations • Hayward, California, 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 • Hayward, California, United States
Job_description.internal_linking.related_jobs A company is looking for a Health Plan Medical Director Physician.Key Responsibilities Develop and execute case management, disease management, and population health management operations Conduc...serp_jobs.internal_linking.show_more A company is looking for a Clinical Review Medical Director - Internist, Surgery or Plastic Surgery - Remote.Key Responsibilities Conduct coverage reviews based on individual member plan benefits...serp_jobs.internal_linking.show_more 
Trebuchet MS , Helvetica , sans-serif;"> serp_jobs.internal_linking.show_more
FM - San Francisco Operations, is currently accepting applications for a Jurisdictional Consultant in the State of California.
This position is primarily responsible for conducting in-service inspec...serp_jobs.internal_linking.show_more 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 
San Francisco Health Plan is committed to providing high-quality care for low-income San Franciscans and supporting the provider safety net.
We leverage our resources to support the triple aim : impr...serp_jobs.internal_linking.show_more
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...serp_jobs.internal_linking.show_more 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 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 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 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 A company is looking for an Assoc.Medical Director - Family Medicine (Remote).Key Responsibilities Oversee medical coordination for effective utilization and quality management of the health plan...serp_jobs.internal_linking.show_more A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets for compliance with internal and external medical standards...serp_jobs.internal_linking.show_more 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 Direct...serp_jobs.internal_linking.show_more A company is looking for a Medical Director - Clinical Advocacy and Support.Key Responsibilities Conduct coverage reviews and render coverage determinations based on member plan benefits Documen...serp_jobs.internal_linking.show_more A company is looking for a Remote Patient Representative Medical Assistant.Key Responsibilities Manage high volume incoming and outgoing patient calls Document all patient interactions accuratel...serp_jobs.internal_linking.show_more Reporting to the Manager, Clinical Operations, the Clinical Operations Policy Analyst is an experienced Utilization Management (UM) role responsible for developing UM policies, procedures, and comp...serp_jobs.internal_linking.show_more 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 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 
DOE | Management Bonuses | Sign-On Bonus.Pleasanton Veterinary Hospital is seeking an experienced veterinarian.This is your chance to guide a thriving small animal practice while enjoying the resou...serp_jobs.internal_linking.show_more
Maryland Licensed Medical Director
VirtualVocations • Hayward, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Medical Director - Arizona Licensed
VirtualVocations • Concord, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Assistant
MediQuest Staffing • El Cerrito, CA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Jurisdictional Specialist
FM • LIVERMORE, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Director - MN Licensed
VirtualVocations • Santa Clara, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Director
San Francisco Health Plan • San Francisco, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Remote Financial Analyst - AI Trainer ($50-$60 / hour)
Data Annotation • Livermore, California
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager
VirtualVocations • Concord, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Ohio Licensed Epic Analyst II
VirtualVocations • Concord, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Medical Director
VirtualVocations • Santa Clara, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Florida Licensed Medical Director
VirtualVocations • Santa Clara, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Texas Licensed Associate Medical Director
VirtualVocations • Fremont, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Georgia Licensed Clinical Policy Manager
VirtualVocations • Hayward, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Maryland Licensed Medical Policy Analyst
VirtualVocations • Fremont, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
New York Licensed Medical Director
VirtualVocations • Concord, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Connecticut Licensed Medical Assistant
VirtualVocations • San Francisco, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Clinical Operations Policy Analyst
San Francisco Health Plan • San Francisco, CA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
State Licensed Associate Medical Director
VirtualVocations • Hayward, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
California Licensed Actuarial Analyst
VirtualVocations • Concord, California, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Medical Director
National Veterinary Associates • PLEASANTON, California, United States
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted