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Medical Management Policy & Research Analyst I
Medical Management Policy & Research Analyst IHMSA • Honolulu, HI, United States
Medical Management Policy & Research Analyst I

Medical Management Policy & Research Analyst I

HMSA • Honolulu, HI, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.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

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    Policy Analyst • Honolulu, HI, United States

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