Medical Management Policy & Research Analyst I

Job Summary

Hybrid Work Environment - Must reside on Oahu
Pay Range: $53,000 - $99,000
Note: Individuals typically begin between the minimum to middle of the pay range

Duties And Responsibilities

• 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.
• Affiliate 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).
• Affiliate 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.
• Perform all other miscellaneous responsibilities and duties as assigned or directed.