Maryland Licensed Medical Policy Analyst

Job Summary

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

Key Responsibilities

• Conducts in-depth research and evaluates medical literature for policy revisions
• Collaborates with Medical Directors to ensure compliance and consistency in medical policies
• Maintains and disseminates the Medical Policy Reference Manual and related resources

Required Qualifications

• Bachelor's Degree in Nursing, Public Health, English, or a related field, or 4 additional years of relevant work experience
• Registered Nurse (RN) state licensure required
• Certified Coder (CCS or CPC) within 1 year required
• 3 years of clinical experience in relevant fields, including research methodology
• Preferred: Certified Professional Coder (CPC)