Talent.com
Maryland Licensed Medical Policy Analyst
Maryland Licensed Medical Policy AnalystVirtualVocations • Oxnard, California, United States
Maryland Licensed Medical Policy Analyst

Maryland Licensed Medical Policy Analyst

VirtualVocations • Oxnard, California, United States
2 days ago
Job type
  • Full-time
Job description

A company is looking for a Medical Policy Analyst (Remote).

Key Responsibilities

Conduct in-depth research and evaluate medical literature for policy revisions

Collaborate with the Medical Director to revise medical policies and procedures

Maintain the Medical Policy Reference Manual and ensure proper dissemination of policies

Required Qualifications

Bachelor's Degree in Nursing, Public Health, English, or related field, or 4 years of relevant work experience in lieu of a degree

3 years of clinical experience in Medical Surgical, Mental Health, or related fields

Experience in research methodology and systematic evaluation of medical literature

Registered Nurse (RN) state licensure required

Certification as a Professional Coder (CPC) preferred

Create a job alert for this search

Policy Analyst • Oxnard, California, United States

Related jobs
Locum | Physician Pediatrics

Locum | Physician Pediatrics

CompHealth • Thousand Oaks, California, United States
Permanent
Though your CompHealth recruiter will be your single point of contact, they're backed by dozens of specialized teams, giving them the ability to focus on the details that matter to you.That means w...Show more
Last updated: 30+ days ago • Promoted
Med-Ped

Med-Ped

The Inline Group • Santa Barbara, California, US
Full-time
Med-Ped physician employment in California : The Inline Group -.Hours : Monday to Friday 8 : 30 -5 : 30.Call Schedule : Optional call for additional pay. Compensation : - $260,000 - $270,000 based on exper...Show more
Last updated: 15 days ago • Promoted
State Licensed Associate Medical Director

State Licensed Associate Medical Director

VirtualVocations • Oxnard, California, United States
Full-time
A company is looking for an Associate Medical Director - PRN (Remote U.Key Responsibilities Oversee clinical decision-making aspects of the Utilization Management program Collaborate with Region...Show more
Last updated: 2 days ago • Promoted
Medical Director - MN Licensed

Medical Director - MN Licensed

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for a Medical Director for Medical Claims Review, working remotely.Key Responsibilities Conduct coverage reviews based on individual member plan benefits and national policie...Show more
Last updated: 30+ days ago • Promoted
Pennsylvania Licensed Medical Assistant

Pennsylvania Licensed Medical Assistant

VirtualVocations • Oxnard, California, United States
Full-time
A company is looking for a Medical Assistant for Ambulatory Virtual Programs.Key Responsibilities Assist physicians and practitioners with routine medical procedures such as blood draws, vital si...Show more
Last updated: 3 days ago • Promoted
State Licensed Medical Director

State Licensed Medical Director

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for a Medical Director / Physician Reviewer.Key Responsibilities Review hospital medical records for DRG Clinical Validation and other review activities Develop and update cli...Show more
Last updated: 30+ days ago • Promoted
Ohio Licensed Epic Analyst II

Ohio Licensed Epic Analyst II

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for an IT Epic Analyst II.Key Responsibilities Design, implement, maintain, and support assigned Epic software applications Plan implementation and upgrades of clinical syst...Show more
Last updated: 1 day ago • Promoted
Family Medicine

Family Medicine

Enterprise Medical Recruiting • Santa Barbara, California, US
Full-time
Family Medicine physician employment in California : .Join a Federally Qualified Health Center (FQHC) with 80 primary care physicians in 26 offices. The center is currently interviewing Family Medici...Show more
Last updated: 3 days ago • Promoted
MD Appeals Medical Director

MD Appeals Medical Director

VirtualVocations • Oxnard, California, United States
Full-time
A company is looking for an Appeals M.Member Appeals to perform clinical reviews and adjudications of appeals and grievances cases. Key Responsibilities Conduct individual case reviews for appeals...Show more
Last updated: 3 days ago • Promoted
Locum | Physician Internal Medicine

Locum | Physician Internal Medicine

CompHealth • Thousand Oaks, California, United States
Full-time
CompHealth services are always free to you.Let us do the heavy lifting and handle the headache of credentialing, travel, housing, and so much more. With the premier staffing agency as your champion,...Show more
Last updated: 30+ days ago • Promoted
Local Contract Nurse RN - ED - Emergency Department

Local Contract Nurse RN - ED - Emergency Department

Host Healthcare • Camarillo, CA, US
Full-time
Host Healthcare is seeking a local contract nurse RN ED - Emergency Department for a local contract nursing job in Camarillo, California. Job Description & Requirements.Pay package is based on 1...Show more
Last updated: 30+ days ago • Promoted
Family Medicine

Family Medicine

The Inline Group • Santa Barbara, California, US
Full-time
Family Practice physician employment in California : The Inline Group -.Hours : Monday to Friday 8 : 30 -5 : 30.Call Schedule : Optional call for additional pay. Compensation : - $260,000 - $270,000 based ...Show more
Last updated: 3 days ago • Promoted
Texas Licensed Clinical Policy Manager

Texas Licensed Clinical Policy Manager

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for a Manager, Clinical Policy to join their Clinical Policy team.Key Responsibilities Clinically evaluate vendor policy sets to ensure compliance with internal and external ...Show more
Last updated: 17 days ago • Promoted
State Licensed Clinical Analyst

State Licensed Clinical Analyst

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for a Senior Clinical Analyst to combine clinical data expertise with relationship management to ensure accurate claims processing and optimize carrier performance.Key Responsi...Show more
Last updated: 30+ days ago • Promoted
Ohio Licensed Pre-Payment Claims Analyst

Ohio Licensed Pre-Payment Claims Analyst

VirtualVocations • San Buenaventura, California, United States
Full-time
A company is looking for a Pre-Payment Claims Analyst to analyze pharmacy claim data and identify overpayments.Key Responsibilities Research and analyze pre-payment pharmacy claim data to identif...Show more
Last updated: 3 days ago • Promoted
Family Medicine

Family Medicine

CompHealth • Fillmore, California, US
Full-time
Family Medicine physician employment in California : CompHealth services are always free to you.Let us do the heavy lifting and handle the headache of credentialing, travel, housing, and so much mo...Show more
Last updated: 3 days ago • Promoted
Family Medicine

Family Medicine

California Physician Opportunities • Moorpark, California, US
Full-time
Family Medicine physician employment in California : .Family Medicine wanted ' for Moorpark,.Located in the Los Angeles Metro near Simi Valley this Ventura County community offers the California lif...Show more
Last updated: 3 days ago • Promoted
Florida Licensed Medical Director

Florida Licensed Medical Director

VirtualVocations • Oxnard, California, United States
Full-time
A company is looking for a Medical Director - Licensed and Residency in Florida - Remote.Key Responsibilities Conduct coverage reviews and render coverage determinations based on member plan bene...Show more
Last updated: 30+ days ago • Promoted