Medical Policy Analyst
3 weeks ago
Title: Medical Policy Analyst
Location: Detroit, MI (100% REMOTE)
Duration 6+ months
About Role:
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.
Key Responsibilities
Develop and maintain a comprehensive repository of medical policies, including conducting annual reviews and updates
Collaborate closely with the Medical Director on policy development and maintenance initiatives
Review JUMP meeting minutes and update Medicare Policies accordingly
Prepare and present policies and related documents for CRC and UMC meetings
Conduct research on CPT and HCPCS codes as needed for policy development and updates
Investigate emerging medical technologies to support authorization requests and policy decisions
Assist in ensuring all policies align with current CMS National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs)
Required Qualifications
Familiarity with CMS National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs)
Strong analytical and research capabilities
Clinical background or education in a healthcare-related field
Preferred Qualifications
Experience in researching and writing healthcare policies
Knowledge of medical coding systems (ICD-10, CPT, HCPCS)
Familiarity with healthcare compliance regulations and standards
-
Medical Policy Analyst
4 weeks ago
Detroit, United States KYYBA Inc Full timeTitle: Medical Policy AnalystLocation: Detroit, MI (100% REMOTE)Duration 6+ monthsAbout Role: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.Key...
-
Medical Policy Analyst
2 weeks ago
Detroit, Michigan, United States KYYBA Inc Full timeAbout KYYBA IncWe are a leading healthcare organization seeking a detail-oriented and analytical Medical Policy Analyst to join our team.Key ResponsibilitiesDevelop and maintain a comprehensive repository of medical policies, including conducting annual reviews and updatesCollaborate closely with the Medical Director on policy development and maintenance...
-
Medical Policy Analyst
4 weeks ago
Detroit, Michigan, United States KYYBA Inc Full timeAbout the RoleWe are seeking a detail-oriented and analytical Medical Policy Analyst to join our healthcare team at KYYBA Inc.This role is crucial in developing, maintaining, and implementing medical policies that ensure high-quality patient care and regulatory compliance.Key ResponsibilitiesDevelop and maintain a comprehensive repository of medical...
-
Health Policy Analyst
2 days ago
Detroit, United States destinationone Consulting Full timedestinationone Consulting specializes in recruitment across diverse sectors including Healthcare Health Tech Government Municipalities NonProfits Legal Public Accounting Food and more. We are proactively building a data bank for opportunities in these fields. By applying you ensure our recruiters can quickly match you with suitable roles when they...
-
Health Policy Analyst
5 days ago
Detroit, United States destinationone Consulting Full timeJob Descriptiondestinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. We are proactively building a data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable...
-
System Analyst
2 weeks ago
Detroit, Michigan, United States ICONMA, LLC Full timeJob Title: System Analyst - Policy Change RequestsThis role will be responsible for the delivery of client Policy Change Requests. The work includes but is not limited to business requirement assessment, detailed system analysis, benefit designs, and testing.Key Responsibilities:Assess business requirements and develop detailed system analysisDesign and...
-
Medical Policy Nurse
3 weeks ago
Detroit, Michigan, United States DMC Receiving Hospital Full timeJob SummaryDMC Receiving Hospital is seeking a skilled Registered Nurse to join our team in the General Medical Surgical Telemetry Unit. As a Medical Policy RN, you will be responsible for providing high-quality patient care and collaborating with our multidisciplinary team to ensure the best possible outcomes.Key ResponsibilitiesProvide direct patient care...
-
Medical Policy Nurse
3 weeks ago
Detroit, Michigan, United States DMC Receiving Hospital Full timeJob SummaryDMC Receiving Hospital is seeking a skilled Registered Nurse to join our team in the General Medical Surgical Telemetry Unit. As a Medical Policy RN, you will be responsible for providing high-quality patient care and collaborating with our multidisciplinary team to achieve exceptional patient outcomes.Key ResponsibilitiesProvide direct patient...
-
Medical Policy Nurse
3 weeks ago
Detroit, Michigan, United States DMC Receiving Hospital Full timeJob SummaryDMC Receiving Hospital is seeking a skilled Registered Nurse to join our team in the General Medical Surgical Telemetry Unit. As a Medical Policy RN, you will be responsible for providing high-quality patient care and collaborating with our multidisciplinary team to ensure the best possible outcomes.Key ResponsibilitiesProvide direct patient care...
-
Medical Policy Nurse
3 weeks ago
Detroit, Michigan, United States DMC Harper UniversityHutzel Women's Hospital Full timeJob SummaryWe are seeking a highly skilled Registered Nurse to join our team at DMC Harper University/Hutzel Women's Hospital. As a Medical Policy RN, you will be responsible for providing exceptional patient care and collaborating with our interdisciplinary team to deliver high-quality patient outcomes.ResponsibilitiesProvide direct patient care and...
-
Medical Policy Nurse
3 weeks ago
Detroit, Michigan, United States DMC Harper UniversityHutzel Women's Hospital Full timeJob SummaryWe are seeking a highly skilled Registered Nurse to join our team at DMC Harper University/Hutzel Women's Hospital. As a Medical Policy RN, you will be responsible for providing exceptional patient care and collaborating with our interdisciplinary team to deliver high-quality patient outcomes.ResponsibilitiesProvide direct patient care and...
-
Medical Coding Analyst
1 week ago
Detroit, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!Title: Medical Coding AnalystLocation: Detroit, MI (Remote/Must be local to Michigan)Duration: 6 Months Role Type: W2 Contract Engagement
-
Medical Coding Analyst
1 week ago
Detroit, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Title: Medical Coding Analyst Location: Detroit, MI (Remote/Must be local to Michigan) Duration: 6 Months Role Type: W2 Contract Engagement Engagement Description This role will be assisting with the 2024 HEDIS audit. Work hours will be 08:00am-4:30pm Monday-Friday. Some variation on those hours is...
-
Medical Policy Nurse
3 weeks ago
Detroit, Michigan, United States DMC Harper UniversityHutzel Women's Hospital Full timeJob SummaryThe DMC Harper University/Hutzel Women's Hospital is seeking a highly skilled Registered Nurse to join our team. As a member of the Patient Care Services Team, you will be responsible for providing exceptional patient care and collaborating with our multidisciplinary team to deliver high-quality care.Key ResponsibilitiesProvide direct patient care...
-
Medical Policy Nurse
3 weeks ago
Detroit, Michigan, United States DMC Harper UniversityHutzel Women's Hospital Full timeJob SummaryWe are seeking a highly skilled Registered Nurse to join our team at DMC Harper University/Hutzel Women's Hospital. As a member of our Patient Care Services Team, you will be responsible for providing exceptional patient care and collaborating with our interdisciplinary team to achieve optimal patient outcomes.Key ResponsibilitiesProvide direct...
-
Guidewire Policy Center QA Lead
4 weeks ago
Detroit, Michigan, United States Ampcus Full timeJob SummaryWe are seeking a highly skilled Guidewire Policy Center QA Lead to join our team at Ampcus. As a key member of our quality assurance team, you will be responsible for managing testing and related processes for Guidewire Policy Center development projects and ongoing enhancements.Key ResponsibilitiesDevelop and execute test plans for the entire...
-
Guidewire Policy Center QA Lead
1 month ago
Detroit, Michigan, United States Ampcus Full timeJob Title: Guidewire Policy Center QA LeadAt Ampcus, we are seeking a highly skilled QA Lead to join our team and lead the testing efforts for our Guidewire Policy Center development projects.Responsibilities:Develop and execute comprehensive test plans for new product releases and enhancementsCollaborate with business analysts and developers to identify and...
-
Systems Analyst
1 week ago
Detroit, Michigan, United States G-TECH Services Full timeJob Title: Systems AnalystWe are seeking a skilled Systems Analyst to join our team at G-TECH Services, Inc. This role will be responsible for delivering BCBSM Policy Change Requests, including business requirement assessment, detailed system analysis, benefit designs, and testing.Key Responsibilities:Strong medical and facility claims background,...
-
Guidewire Policy Center QA Lead
3 weeks ago
Detroit, Michigan, United States Ampcus Full timeJob Title: Guidewire Policy Center QA LeadAmpcus is seeking a highly skilled QA Lead to join our team and lead the testing efforts for our Guidewire Policy Center development projects.Responsibilities:Manage testing and related processes for Guidewire Policy Center development projects and ongoing enhancementsDevelop and execute test plans, including manual...
-
Medical Coding Analyst
19 hours ago
Detroit, United States Strategic Staffing Solutions Full timeTitle: Medical Coding Analyst Location: Detroit, MI (Remote/Must be local to Michigan) Duration: 12+ Month contract with chance of extending or converting to full time Pay Rate range: 29-32/HR Note: Must have CPC (Certified professional coder) Occasional requests will be made to work weekends when inventory of claims is high Role Type: Exempt (Any...