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HM
Medical Management Policy & Research Analyst I
HMSAUnited Statesfull_timeVerifiedPosted 12 May 2025
About the role
- 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.
- Associate degree and one (1) year of related work experience; or equivalent combination of education and work experience.
- Demonstrated oral and written communication skills.
- Proven organizational and time-management skills.
- Basic working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint.
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