Back to jobs

Medical Management Policy & Research Analyst I
HMSA BLDG-HMS-OAHMSPosted 2 days ago
onsite
Job Description
- Revise and/or develop medical policies adopted from the BCBSA in conjunction with assigned medical director and in accordance with Development and Approval of Medical Policy administrative policy; process includes appropriate and timely implementation and publication.
- Assist with activities related to the revision and/or development of medical policies, code reviews, and TEC topic research, which include Service Now ticket submissions and Workfront ticket requests (tickets include data requests and medical policy page updates).
- Assist with the revision and update of MM C&S Unit assigned PRC pages. Collaborate with HMSA Communications Department with the accuracy of PRC page content and in the submission Workfront requests.
- Support MM sponsored meetings by preparing and distributing an agenda, minutes, and documents to be discussed, and taking minutes (meetings to include UMC, OMD, TEC, Policy Workgroup).
- Research and respond to requests from internal departments/units requesting information on new technology (including research supporting TEC activities) and medical policies.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid