Business Analyst II - 2nd release
OpTech - detroit, MI
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Job Title: Business Analyst II Why work at OpTech? OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits on the first day of employment, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! To view our complete list of openings, please visit our . RESPONSIBILITIES: Engagement Description: Supporting the Development and Maintenance the repository of medical policies, including annual reviews/updates Collaboration with Medical Director on medical policy development and maintenance Assist with the review of JUMP meeting minutes to update Medicare Policies where needed Supporting the preparation of policies and documents for CRC and UMC Meetings Research CPT or HCPCS codes as needed Researching medical technologies as needed for specific cases requesting authorizations on technologies QUALIFICATIONS: Top 3 Required Skills/Experience: REQUIRED: Registered Nurse with Medicare experience. Utilization Management experience is preferred. Familiar with Microsoft Office products Familiar with CMS NCD/LCDs Required Skills/Experience: Strong written and verbal communication skills Strong research skills Utilization Management Clinical background CMS knowledge Knows how to Research CMS rules Preferred Skills/Experience: Experience with researching and writing policies, preferred but not required Education/Certifications - Include: Clinical background/education OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws. 29420
Created: 2024-10-14