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- Comprehensive benefits including Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO), and Tuition Reimbursement
- Opportunity for career advancement and growth within the organization
- Supportive and work environment
- Engaging work that impacts healthcare policy and the industry
Employer Industry: Healthcare Services
Why Consider This Job Opportunity
- Salary up to $100K
- Comprehensive benefits including Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO), and Tuition Reimbursement
- Opportunity for career advancement and growth within the organization
- Supportive and work environment
- Engaging work that impacts healthcare policy and the industry
What To Expect (Job Responsibilities)
- Assist in the development and implementation of policy strategies supporting the employer and the industry
- Monitor payer policy updates and changes affecting revenue
- Serve as a liaison between Medical Directors and Payer Medical Directors regarding policy issues
- Advocate for company positions on regulatory proposals and public policy
- Develop responses and strategies on key issues at state and federal levels
What Is Required (Qualifications)
- Bachelor’s degree from an accredited four-year institution and 5 years of work experience required (or minimum 7 years work experience if no degree)
- Strong understanding of insurance guidelines and payer policy
- Experience with healthcare revenue cycle including prior authorization, coding, claims, and billing compliance
- Ability to evaluate -related state legislation and engage with subject matter experts
- Exceptional communication skills for advocacy and reporting
How To Stand Out (Preferred Qualifications)
- Advanced degree (MBA, JD, M.A./M.S., CGC, RN)
- Prior experience in Genetic Counseling
- Familiarity with clinical practice guidelines from national organizations
- Experience working with state and federal agencies and commercial insurance payers
- Previous work in case reviews for medical necessity
#HealthcareServices #PayerPolicy #CareerOpportunity #CompetitivePay #HealthCareAdvocacy
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