CVS Health

Bringing our heart to every moment of your health.

Payment Policy Writer, Code Editing Manager

Full TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Alabama + 3 moreAll locations: Alabama, Florida, Kansas, Kentucky

Posted

2 days ago

Salary

$54.3K - $145.9K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Ensures compliance with healthcare regulations and policies for state Medicaid and Duals line of business as it related to payment policies • Support the operational processes of the Medicaid Health Policy Governance • Monitor status reports to ensure effective workflow and timely development of coding and payment policies • Support internal departments and processes in the development and implementation of policies and procedures • Ensure all medical policies are compliant with relevant regulations and are consistent across all lines of business • Participate in department initiatives, scorable action items, and projects • Work with health plan business leaders and corporate leaders to develop deliverables on policy priorities • Provide medical coding and payment policies deliverables for Medicaid and Duals and other markets as business needs change • Work with business product owners, government relations, and compliance leads to monitor legislative and regulatory activities for potential impact on existing or proposed policies • Collaborate with interdisciplinary team members to achieve team goals • Perform any other job duties as requested

Job Requirements

  • 3 years of healthcare-related writing experience
  • Experience in writing payment policies for state specific Medicaid policy, Medicare policy writing a plus
  • 3 years of experience in medical policy development and/or implementation
  • Coding and managed care background
  • Effective communication skills, both verbal and written
  • Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
  • Proficiency with computer skills which includes navigating multiple systems and keyboarding
  • Strong presentation skills
  • Ability to travel up to 10% for meetings as needed

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

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