New Jersey Licensed Medical Policy Analyst

A company is looking for a Medical Policy Analyst. Key Responsibilities Provide timely and accurate responses to inquiries related to claims and medical policy Prepare cases for review by Medical Directors or outside consultants Identify opportunities for revisions to medical policy based on case reviews Required Qualifications High School Diploma or GED equivalent required; Bachelor's Degree preferred Minimum of 2 years clinical experience required 3 years' experience in the health care delivery system/industry required Active Unrestricted New Jersey / Compact RN License required Prefer Certified Professional Coder credentials

May 22, 2025 - 00:40

A company is looking for a Medical Policy Analyst. Key Responsibilities Provide timely and accurate responses to inquiries related to claims and medical policy Prepare cases for review by Medical Directors or outside consultants Identify opportunities for revisions to medical policy based on case reviews Required Qualifications High School Diploma or GED equivalent required; Bachelor's Degree preferred Minimum of 2 years clinical experience required 3 years' experience in the health care delivery system/industry required Active Unrestricted New Jersey / Compact RN License required Prefer Certified Professional Coder credentials