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Clinical Operations Policy Analyst
Clinical Operations Policy AnalystInsight Global • San Francisco, CA, United States
Clinical Operations Policy Analyst

Clinical Operations Policy Analyst

Insight Global • San Francisco, CA, United States
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  • Develop and revise Clinical Operations policies and present these policies to UM Committee and the Policy and Compliance Committee for approval.
  • Monitor new and updated regulations, APLs, and CMS rules and perform gap analyses to identify compliance risks.
  • Develop and deliver training on new or updated UM policies to internal staff.
  • Prepare pre-onsite documentation for external audits (DHCS, DMHC, CMS, NCQA).
  • Provide administrative support for UM Committee (agendas, minutes, compliance tracking) and ensure UM Committee actions are implemented and documented.
  • Draft member and provider-facing UM communications (e.g., website and newsletter content).
  • Develop work plans for achieving goals and implementing projects helping the Clinical Operations team.
  • Help develop reports and conducting analysis to manage Clinical Operations process improvements and quality efforts.
  • Work with UM Program Manager and Clinical Operations leadership to facilitate Clinical Operations regulatory and accreditation audit processes.
  • Create Clinical Operations documents such as DeskTop Processes and reference materials.
  • Annual Salara between 60-90k depending on experience

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    Policy Analyst • San Francisco, CA, United States