Medicaid Content Analyst

Job Summary

A company is looking for a Content Analyst II (Medicaid).

Key Responsibilities

• Provide coding and industry expertise for clinical coding edits and policy maintenance
• Write business logic for new rules and enhancements based on industry references
• Perform analytics for data and report analysis with ownership of assigned medical policies

Required Qualifications

• Active professional license as a Registered Nurse, Pharmacist, or a Bachelor's degree in a healthcare-related field
• Professional certification preferred or willingness to obtain within one year
• Minimum of 5 years of clinical experience or 6 years of clinical coding experience
• Minimum of 3 years of experience in internet-based research related to coding
• Knowledge of Medicaid guidelines and claims payment methodologies preferred