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Coding • tampa fl

Last updated: 1 day ago

Clinical Policy Development Analyst

avalon healthcare solutionsTampa, FL, United States
Full-timeFull-time

Clinical Policy Development Analyst, Routine Testing.The Clinical Policy Development Analyst will identify and develop new evidence-based policies that expand Avalon's Routine Test Management polic... Show more

Medical Director, Orthopedic Spine Surgery - Remote 2381693 | Minneapolis, Minnesota | Remote

genoa telepsychiatryTampa, FL, United States
Full-timeFull-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

Project manager -Tampa, Florida

staffingTampa, FL, United States
Full-timeFull-time

US Citizen, Green Card, TN, GC EAD and H4 EAD only.No third-party agencies corp to corp.Job Description: More than 8 years of coding language C, Stratus VOS.Experience with payments processing indu... Show more

Coding Specialist (remote position)

chapters health systemTemple Terrace, FL
$24.30–$36.16 hourly$24.30–$36.16 hourly
RemoteRemote
Full-timeFull-time

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!.When you become part of the Chapters Health Team, you’ll realize it’s more than a job.We’re committed to prov... Show more

Project manager -Tampa, Florida

georgia itTampa, FL, United States
Full-timeFull-time

US Citizen, Green Card, TN, GC EAD and H4 EAD only.No third-party agencies corp to corp.Job Description: More than 8 years of coding language C, Stratus VOS.Experience with payments processing indu... Show more

Assistant Director RCO Account Receivable CM Coding RI

usf healthTampa, FL, United States
Full-timeFull-time

Assistant Director RCO Account Receivable CM Coding RI.The Assistant Director Pre-AR, Claims Management, Coding and Revenue Integrity Edits is responsible for overseeing pre-account receivable work... Show more

Medical Director, Orthopedic Surgery - Remote 2381695 | Minneapolis, Minnesota | Remote

umrTampa, FL, United States
Full-timeFull-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

Medical Director, Orthopedic Spine Surgery - Remote 2381693 | Minneapolis, Minnesota | Remote

united healthcare at homeTampa, FL, United States
Full-timeFull-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

Experienced Associate, Healthcare Forensics Coder

bdoTampa, FL, United States
Full-timeFull-time

Experienced Associate, Healthcare Forensics.The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and re... Show more

Supervisor Clinical Documentation Integrity Regional - 157153

bay careTampa, FL, United States
Full-timeFull-time

Supervisor Clinical Documentation Integrity Regional.Join the team that is revolutionizing health care BayCare Health System.Our network consists of 16 community-based hospitals, a long-term acute... Show more

Medical Director, Vascular Surgery - Remote 2381697 | Minneapolis, Minnesota | Remote

united healthcareTampa, FL, United States
Full-timeFull-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

Full-Time Tampa Accounts Receivables (AR) - Healthcare

prosper infusionTampa, FL, US
Full-timeFull-time
Quick Apply

The Pharmacy AR Specialist is responsible for managing the accounts receivable (AR) processes related to buy-and-bill medications.This includes verifying insurance coverage, submitting claims, reso... Show more

100% Remote - Software Engineer (React/Node/Typescript focus) - Contract to Hire

experienced recruiting partnersTampa, FL, United States
RemoteRemote
Full-timeFull-time

Per client requirements - must be US Citizen or Green Card Holder status.Building web applications with React and Next.Working with authentication and secure integrations.Writing automated tests an... Show more

Registered Expanded Functions Dental Assistant

bay smiles pllcTampa, FL, US
Full-time +1Full-time +1
Quick Apply

Job Summary Bay Smiles is seeking a dedicated and skilled Dental Assistant to join our dynamic dental practice.The ideal candidate will play a crucial role in providing high-quality patient care an... Show more

Business Analyst-Senior

tri optusTampa, FL, United States
Full-timeFull-time

The CSIS Technology Management position provides advanced technical support and is responsible for the evolving technology needs of CSIS, including performing software and hardware support, technol... Show more

Field Reimbursement Manager, Oncology

abb vieTampa, FL, United States
Full-timeFull-time

AbbVie Oncology Access Specialist.AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorro... Show more

Medical Billing and Coding - Entry Level Training Program

dreamboundTown n Country, Florida, US
Full-timeFull-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

 • Promoted

Medical Director, Vascular Surgery - Remote 2381697 | Minneapolis, Minnesota | Remote

divvy doseTampa, FL, United States
Full-timeFull-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

Medical Director, Vascular Surgery - Remote 2381697 | Minneapolis, Minnesota | Remote

united health groupTampa, FL, United States
Full-timeFull-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

Medical Director, Orthopedic Spine Surgery - Remote 2381693 | Minneapolis, Minnesota | Remote

united health groupTampa, FL, United States
Full-timeFull-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

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Clinical Policy Development Analyst

Clinical Policy Development Analyst

avalon healthcare solutionsTampa, FL, United States
1 day ago
Job type
  • Full-time
Job description

Clinical Policy Development Analyst, Routine Testing

The Clinical Policy Development Analyst will identify and develop new evidence-based policies that expand Avalon's Routine Test Management policy library. The analyst will monitor developments in laboratory testing, evaluate clinical evidence and coverage guidance, assess potential policy opportunities, and draft policies for clinical review and approval. The role will also coordinate with Product, Coding & Translation, and claims-editing teams to ensure approved policies can be implemented consistently.

This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

Clinical Policy Development Analyst, Routine Testing Essential Functions and Responsibilities:

  • Research emerging laboratory tests, technologies, clinical guidelines, coding changes, payer policies, and utilization trends.
  • Identify and prioritize opportunities for new routine testing policies based on clinical evidence, market need, claims data, and potential client value.
  • Review and summarize peer-reviewed literature, professional society guidance, CMS coverage requirements, and other authoritative sources.
  • Draft clinical policies that clearly define scope, medical necessity criteria, coverage requirements, exclusions, limitations, and supporting references.
  • Present policy recommendations for clinical review and revise draft policies through approval and publication.
  • Review the existing policy library for coverage gaps, outdated references, or opportunities to expand or consolidate policies.
  • Maintain organized research, citations, decision records, and version-controlled policy documentation.
  • Partner with Product, Scientific Affairs, Coding & Translation, and claims-editing teams to support policy implementation and answer questions about policy intent.
  • Use approved AI and large language model tools to support research, policy comparison, and evidence synthesis while validating outputs against authoritative sources.

Clinical Policy Development Analyst, Routine Testing Minimum Qualifications:

  • Demonstrated ability to evaluate clinical literature and translate evidence into clear policy language.
  • Familiarity with diagnostic testing, medical necessity, and health plan coverage policies.
  • Strong research, analytical, writing, and documentation skills.
  • Ability to manage multiple policy-development projects and work effectively across clinical, product, technical, and operational teams.

Clinical Policy Development Analyst, Routine Testing Preferred Qualifications:

  • Advanced clinical or scientific degree or relevant professional credential.
  • Experience developing clinical policies for a health plan, laboratory benefit manager, utilization management organization, or healthcare technology company.
  • Knowledge of routine laboratory testing, pathology, and diagnostic coding.
  • Familiarity with CMS NCDs and LCDs, commercial payer policies, and professional society guidelines.
  • Experience using claims data or AI-assisted research tools to identify and evaluate policy opportunities.