Medical Management Policy and Research Analyst II Job at HMSA, Honolulu, HI

cmtwc3ZhUGdDeHVZZENIbmxUMUJJcnhpaGc9PQ==
  • HMSA
  • Honolulu, HI

Job Description

  1. 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.
  2. 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).
  3. 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.
  4. 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.
  5. Serve as a resource to internal and external staff regarding issues relating to administrative policies and procedures, medical policies, and researching and resolving problems.
  6. Conduct/schedule training opportunities and develop/present reports and various documentation related to MM activities.
  7. Performs all other miscellaneous responsibilities and duties as assigned or directed.

Required

Preferred

Job Industries

Job Tags

Full time,

Similar Jobs

Greenspoon Marder

Administrative Assistant - DFTL Job at Greenspoon Marder

 ...Administrative Assistant - DFTL - 0282 Greenspoon Marder LLP Fort Lauderdale, FL Salary: $80,000.00$92,000.00 Qualifications...  ...religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. All... 

Geisinger

Case Manager Job at Geisinger

 ...Cleans and sets up examination and treatment rooms between cases, ensures required levels of asepsis, availability of appropriate...  ...and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation... 

Maxion Corp LLC

Work At Home Data Entry - Remote Position- Administrative Assistant Job at Maxion Corp LLC

 ...Job Description Join Our Team as a Work-From-Home Data Entry Research Panelist! Are you ready to earn money from the comfort of your own home...  ...You'll Love This Job: Flexibility at Its Best: Work part-time or full-time, from anywhere, and on a schedule that fits your... 

Liberty Health

NURSE PRACTITIONER/PHYSICIAN ASSISTANT (CSNP) Job at Liberty Health

 ...Job Description Job Description NURSE PRACTITIONER/PHYSICIAN ASSISTANT (CSNP) Liberty Cares With Compassion Liberty Medical Care Services is currently seeking the following: NURSE PRACTITIONER (CSNP) Full Time (Covering Lenoir/Greene/Pitt/Wayne... 

LSI Staffing

Retail Merchandiser (Overnight Stocking) - Keene, NH Job at LSI Staffing

 ...Full time positions for Direct Hire Merchandiser's available. Work week consists of 3rd shift Sunday-Thursday. NO EXPERIENCE REQUIRED- ENTRY LEVEL Pay & Benefits of Merchandiser: $20.00 Hourly Rate including Available OT Direct Hire Role -minimum of 12-16 weeks...