Correspondence Policy Specialist

Job Summary

A company is looking for a Correspondence Policy Specialist to support the development and maintenance of corporate clinical correspondence.

Key Responsibilities

• Develops and customizes correspondence in compliance with regulatory and contractual requirements
• Oversees the use and modification of correspondence templates and ensures compliance with various standards
• Researches state regulatory requirements and collaborates with IT to support letter generation processes

Required Qualifications

• 3+ years of healthcare industry experience
• 3+ years of experience with compliance and quality requirements related to healthcare and UM processes
• Associates degree preferred, with consideration for additional relevant experience
• Knowledge of legislative and oversight bodies such as NCQA, URAC, ERISA, and CMS