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Medical Management Policy and Research Analyst II
Honolulu, HI
Job Description
- Revise and/or develop medical policies 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.
- 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, IRR, Policy Workgroup).
- Assist with activities, which include internal audits, quality assurance control, quality improvement, provider satisfaction and departmental policies and procedures, to meet and/or maintain regulatory/accreditation/line of business requirements.
- Research and respond to requests from internal departments/units requesting information on new technology (including research supporting TEC activities), medical procedures, drug therapies, DME, etc.
- Serve as a resource to internal and external staff regarding issues relating to administrative policies and procedures, medical policies, and researching and resolving problems.
- Conduct/schedule training opportunities and develop/present reports and various documentation related to MM activities.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
Open
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