Job Summary

A health insurance company is in need of a Remote Payment Policy Analyst.

Individual must be able to fulfill the following responsibilities:

• Facilitate the reimbursement and billing guidelines policy process
• Conduct industry/market research
• Format reimbursement policies

Required Skills:

• Associate degree or equivalent work experience
• Experience with creation of formal policy and procedures
• Familiarity with reimbursement methodologies
• Familiarity with reimbursement terminology
• Previous compliance experience within a managed care environment
• Knowledge of CMS and/or New York State DOH reimbursement methodologies