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Healthcare Policy Analyst

2 months ago

Shelbyville, Tennessee, United States Elevance Health Full time

Medical Policy Consultant at Elevance Health

Elevance Health is a prominent organization engaged in the management of government contracts within the healthcare domain, collaborating closely with the Centers for Medicare and Medicaid Services to improve federal health initiatives.

Position Overview:

  • Accountable for thorough research and development of NGS Medical Policy, ensuring the application of validated methodologies.
  • Conducts systematic research adhering to established methodologies.
  • Drafts and revises policies utilizing standardized templates and criteria.
  • Evaluates codes for precision and consistency.
  • Investigates pertinent studies to inform policy development.
  • Partners with Medical Directors for policy clarifications.
  • Engages in policy formulation based on research outcomes.

Essential Qualifications:

  • BA/BS degree in a relevant field with a minimum of 2 years of experience or equivalent.
  • Willingness to travel may be necessary.
  • In-depth knowledge of coding practices.
  • Preferred Skills: RN license, expertise in medical research, proficiency in technical writing.
  • Exceptional communication abilities and meticulous attention to detail.

This role offers the opportunity to contribute to the enhancement of healthcare policies and positively influence the healthcare landscape.