New Jersey Licensed Medical Policy Analyst

Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025

Job Description:

A company is looking for a Medical Policy Analyst.
Key Responsibilities:

Provide timely and accurate responses to inquiries related to claims and medical reviews
Prepare cases for Medical Director and outside consultant review
Identify opportunities for development or revisions to medical policy based on case reviews

Required Qualifications:

High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree
Minimum of 2 years clinical experience required
3 years experience in the health care delivery system/industry required
Active Unrestricted RN License required; NJ License preferred
Certified Professional Coder credentials preferred

Keywords: VirtualVocations, Costa Mesa , New Jersey Licensed Medical Policy Analyst, Professions , Vista, California

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