Medical Policy Coordinator/Business Analyst - MPCBA24-1138844400000

at  NavitsPartners

ENGAGEMENT DESCRIPTION:

• Support the development and maintenance of the medical policy repository, including annual reviews/updates.
• Collaborate with the Medical Director on medical policy development and maintenance.
• Assist with the review of JUMP meeting minutes to update Medicare Policies as needed.
• Prepare policies and documents for CRC (Clinical Review Committee) and UMC (Utilization Management Committee) meetings.
• Research CPT or HCPCS codes when required.
• Conduct research on medical technologies for specific cases requesting authorizations on new technologies.

TOP 3 REQUIRED SKILLS/EXPERIENCE:

• Familiarity with Microsoft Office products.
• Familiarity with CMS NCDs (National Coverage Determinations) and LCDs (Local Coverage Determinations).

ADDITIONAL REQUIRED SKILLS/EXPERIENCE:

• Strong written and verbal communication skills.
• Strong research skills.

PREFERRED SKILLS/EXPERIENCE:

• Experience in researching and writing policies (preferred but not required).

EDUCATION/CERTIFICATIONS:

• Clinical background or relevant education.

Please refer the Job description for details