More jobs:
Maine Licensed Medical Policy Clinician
Job in
Ann Arbor, Washtenaw County, Michigan, 48113, USA
Listed on 2026-03-05
Listing for:
Virtual Vocations Inc
Full Time
position Listed on 2026-03-05
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Key Responsibilities Analyze coverage, payment, and coding policies for treatments and inform stakeholders of potential impacts Perform data management analyses and assist in the development of clinical guidelines and standards Lead the Medical Policy Committee and develop evidence-based medical policies aligned with industry standards
Required Qualifications , Training, and Education Associate's degree in nursing; BSN preferred Current, unrestricted Registered Nurse licensure in Maine 5+ years of medical management experience in a managed care setting
Experience with ICD
10, CPT, HCPCS, and medical policy creation One or more Certified Professional Coder Certifications (CPC, CCS, CCA, CPMA)
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