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 reviews Prepare cases for Medical Director and outside consultant review Identify opportunities for development or revisions to medical policy based on case reviews Required Qualifications: High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree Minimum of 2 years clinical experience required 3 years experience in the health care delivery system/industry required Active Unrestricted RN License required; NJ License preferred Certified Professional Coder credentials preferred

May 2, 2025 - 05:44
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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 reviews Prepare cases for Medical Director and outside consultant review Identify opportunities for development or revisions to medical policy based on case reviews Required Qualifications: High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree Minimum of 2 years clinical experience required 3 years experience in the health care delivery system/industry required Active Unrestricted RN License required; NJ License preferred Certified Professional Coder credentials preferred