CVS Health

Bringing our heart to every moment of your health.

Payment Policy Writer, Code Editing Manager – Health Services

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

Location

Florida

Posted

1 day 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.
  • Bachelor's degree preferred/specialized training/relevant professional qualification.

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 and many other benefits depending on eligibility.

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