The Clinical Policy Analyst at Molina Healthcare reviews and evaluates existing clinical policies, proposes improvements, and researches new policies. This role involves creating reports, analyzing market trends, and improving department processes. The position requires proficiency in clinical policy, working knowledge of clinical policies, and an understanding of the managed care industry.

Clinical Policy Analyst/Writer (Remote)

Clinical Policy Analyst

We are seeking a detail-oriented and analytical Medical Policy Analyst to join our healthcare team. This role is crucial in developing, maintaining, and implementing medical policies that ensure high-quality patient care and regulatory compliance. The position involves developing and maintaining a comprehensive repository of medical policies, collaborating with the Medical Director, conducting research on medical technologies, and ensuring policies align with CMS National Coverage Determinations and Local Coverage Determinations.

Medical Policy Analyst

As a Healthcare Analyst at Gimme Credit, you will be part of a team focused on producing written research and data sheets on a coverage universe of major healthcare issuers. This role involves conducting in-depth analysis of the healthcare industry, writing concise analytical reports, providing buy or sell recommendations, and responding to client and press inquiries. The position offers the ability to work remotely, competitive compensation, full benefits, and the opportunity for intellectual satisfaction.

Healthcare Analyst - Remote

Healthcare Analyst

Talent Software Services is seeking a Clinical Quality Management Analyst for a contract to hire position that can be performed remotely. The role involves delivering value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs, utilizing skills such as HCC Coding, medical coding, clinical terminology, and anatomy/physiology. The analyst will work closely with physicians, team members, Quality, Compliance, partners at Enterprise, and leadership to ensure high-quality and accurate risk adjustment coding.

Clinical Quality Management Analyst

As a Clinical Business Analyst at Conduent, you will specialize in the development of Prior Authorization Rules based on clinical documentation. This role involves analyzing, coding, and testing rules for external clients, leveraging strong project management skills and attention to detail to provide quality work. You will collaborate closely with clinical and account management teams to drive continuous improvement and achieve high levels of customer satisfaction.

Clinical Business Analyst

The Claims Research Analyst at Molina Healthcare serves as a claims subject matter expert, assisting business teams with reviewing claims to ensure regulatory requirements are applied appropriately. This role involves managing and leading major claims projects of significant complexity and volume, identifying the root cause of processing errors, coordinating with various departments, developing remediation plans, and monitoring claims reprocessing through resolution. The analyst interprets and presents in-depth analysis of findings and results to leadership and operations teams, ensuring projects are completed accurately and timely.

Analyst, Claims Research - REMOTE

Claims Research Analyst

The Collateral Risk Policy Analyst Lead at Fannie Mae will collaborate with internal and external stakeholders to identify and assess potential risks that may threaten the company's reputation, safety, security, and financial success. This role involves engaging with key stakeholders across the industry to gather feedback for collateral policy consideration, conducting policy reviews, evaluating collateral for eligibility, and writing policy proposals to manage risk. The position offers the flexibility to make each day your own while contributing to the team's efforts to ensure the company's success.

SF Collateral Risk Policy Analyst Lead (Open to Remote)

Collateral Risk Policy Analyst Lead

The Clinical Documentation Analyst at Dartmouth Health is responsible for coordinating and conducting audits for the documentation of coding in assigned clinical sections, monitoring provider documentation and coding across all settings, and providing feedback on documentation review results. This role involves researching coding and documentation practices, developing education plans, and recommending changes to coding or documentation practices. The position requires strong organizational and analytical skills, effective communication, and certification in coding.

Clinical Documentation Analyst (remote)

Clinical Documentation Analyst

Responsible for conducting analyses of insured medical populations to identify opportunities to improve financial performance. The role involves extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities, and working closely with clinical, provider network, and other personnel to design and perform studies related to medical cost improvements.

Medical Economics Analyst - REMOTE

Medical Economics Analyst

This position is responsible for providing regulatory policy and technical support to the overall Management and Administration of Market Policy & Strategy for LIPA as outlined under OSA. The role involves supporting the implementation and analysis of Market Policy and Strategy in all Regulatory Areas for LIPA market interests, including Federal Energy Regulatory Commission (FERC), Public Service Commission (PSC), and NYSERDA, NYISO, Pennsylvania Jersey Maryland (PJM) and Independent System Operator (ISO-NE).

Policy & Strategy Analyst PSEGLI

Policy & Strategy Analyst

The Clinical Senior Analyst at AdventHealth is responsible for understanding system build and implementation, analyzing business problems, and making solution recommendations to meet organizational goals. This role involves collaborating with clinicians and end users to design, build, test, train, implement, evaluate, and maintain Epic and other associated systems. The position requires a comprehensive understanding of Epic, third-party solutions, and the Microsoft suite of products, as well as the ability to develop electronic documentation solutions that support clinical workflow and practice.

EPIC Cupid Clinical Senior Analyst

Clinical Senior Analyst

The Clinical Research Coverage Analyst at Johns Hopkins University is responsible for performing a comprehensive Prospective Reimbursement Analysis on clinical research protocols to ensure accurate determinations of research patient care billing. This role involves assisting departments in the development of budgets for clinical trials, educating departments on proper research patient care billing processes, and serving as a primary resource for clinical research personnel on protocol and budget development.

Clinical Research Coverage Analyst

Policy & Strategy Lead Analyst PSEGLI

Policy & Strategy Lead Analyst

Policy & Strategy Senior Analyst PSEGLI

Policy & Strategy Senior Analyst

Gentiva is seeking a Medical Economics Analyst Senior to join their team, focusing on partnering with payers, providers, and risk-bearing entities to create a value-based palliative care offering for patients approaching end of life. This role involves collaborating with business partners to create and monitor standard reporting packages, utilizing various tools to define, extract, validate, shape, and interpret data, and writing SQL queries among other responsibilities. The position offers a great opportunity for growth within the organization.

Medical Economics Analyst Senior - WFH

Medical Economics Analyst Senior

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Clinical Policy Analyst Jobs in Buffalo, MN Hiring Now