Remote Healthcare Rules Analyst

Location: Nationwide

Compensation: Piece Work

Staff Reviewed: Tue, Mar 16, 2021

This job expires in: 5 days

Job Category: Information Technology

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors, Masters

Job Summary

A digital health company is seeking a Remote Healthcare Rules Analyst.

Candidates will be responsible for the following:

  • Translating policies and clinical criteria into rules using structured logical representation
  • Developing, implementing, and testing rule logic in order to support company initiatives
  • Performing audits/QA tests to identify software inefficiencies and bugs/inconsistencies

Must meet the following requirements for consideration:

  • 3-5 years of experience in healthcare technology, insurance, or medical coding field
  • Knowledge of administrative code sets, such as SNOMED CT, ICD-10-CM, CPT, HCPCS, and LOINC
  • Bachelor’s or Master’s degree in STEM, public health, finance, economics, or other related field
  • Medical necessity data changes quickly
  • Ability to set priorities and manage expectations
  • Exceptional communication skills

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