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Maine Licensed Medical Policy Clinician

Job in Wichita, Sedgwick County, Kansas, 67232, USA
Listing for: Virtual Vocations Inc
Full Time position
Listed on 2026-03-05
Job specializations:
  • Healthcare
    Healthcare Administration
Job Description & How to Apply Below
A company is looking for a Health Plan Data and Medical Policy Clinician - Remote.

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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