Georgia Licensed Clinical Policy Manager
VirtualVocationsRichmond, Virginia, United Statesjob_description.job_card.1_day_ago
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A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.
Key Responsibilities
Clinically evaluate vendor policy sets for compliance with medical standards and organizational goals
Vet vendor policy sets for affordability opportunities and ensure adherence to departmental strategy
Track deliverables and prepare materials for executive review, ensuring compliance with regulatory requirements
Required Qualifications
Bachelor's degree in a relevant field (PA, NP, APRN, BSN, or RN)
Active, unrestricted clinical license
4+ years of experience in clinical policy development or evaluation
4+ years of experience in utilization management and / or clinical operations
Working knowledge of medical coding (CPT, ICD-10, HCPCS) and claims
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Policy Manager • Richmond, Virginia, United States
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