Corporate Medical Policy Analyst, REMOTE in Newtown Square, PA – (job id: 1682149857)

Corporate Medical Policy Analyst, REMOTE - Amerihealth - Newtown Square, PA - work from home job Company: Amerihealth Job description: Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at . Job Summary: The Corporate Medical Policy unit develops and maintains medical policies that can assist in uniform utilization management decisions and claims payment across the enterprise; the unit ensures that policies are transparent to network providers and to our members. The Corporate Medical Policy Analyst supports policy development and provides research and policy statements as requested by Medical Directors, UM and Case Management nurses, Claims, Compliance, Legal Affairs and the Medical Policy Committee. The Analyst independently interacts with internal and external business partners including AMFC contracted specialists to perform literature and professional society guideline searches, review public medical policies and write medical policies in accordance with enterprise, Medicare and state specific Medicaid requirements. The analyst coordinates the policy approval process. Job Related Requirements Qualifications/Knowledge/Skills/Abilities: • Required 3-5 years performing described responsibilities. In a workplace or academic setting. • Required Bachelor’s Degree and RN or MS, PhD in health policy. • Required demonstrated well developed technical/clinical writing skills. • Required strong problem analysis and data analysis skills combined with communication skills. • Required ability to influence consistently across the enterprise. • Strongly Preferred certified coder; in depth knowledge and experience with coding. Share Corporate Medical Policy Analyst, REMOTE - Amerihealth - Newtown Square, PA - work from home job Expected salary: Location: Newtown Square, PA Corporate Medical Policy Analyst, REMOTE - Amerihealth - Newtown Square, PA - work from home job Job date: Sat, 22 Apr 2023 07:50:57 GMT Apply for the job now! Corporate Medical Policy Analyst, REMOTE - Amerihealth - Newtown Square, PA - work from home job Apply tot his job