New Jersey Licensed Medical Policy Analyst

Job Summary

A company is looking for a Medical Policy Analyst.

Key Responsibilities

• Provide timely and accurate responses to inquiries related to claims and medical policy
• Prepare cases for review by Medical Directors or outside consultants
• Identify opportunities for revisions to medical policy based on case reviews

Required Qualifications

• High School Diploma or GED equivalent required; Bachelor's Degree preferred
• Minimum of 2 years clinical experience required
• 3 years' experience in the health care delivery system/industry required
• Active Unrestricted New Jersey / Compact RN License required
• Prefer Certified Professional Coder credentials