Arizona Licensed Medical Policy Analyst

Job Summary

To support medical policy development, the remote Medical Policy Analyst (Level I/II) will perform technology research, evaluate clinical evidence, and develop coverage guidelines while ensuring compliance with regulatory standards.

Key responsibilities

• Conduct medical technology research to inform coverage guidelines and policy decisions
• Evaluate and summarize clinical evidence for new technologies and develop medical coverage criteria
• Facilitate external reviews and contribute to clinical coding governance initiatives

Required qualifications

• Arizona nursing license or compact license covering Arizona
• Minimum AA degree in nursing; BS degree preferred
• LPN certification required; RN preferred
• Prior experience in utilization management and healthcare policy development
• Strong writing skills with experience in policy documentation