Medical Policy Specialist researches and designs criteria to determine policy guidelines used in review of patient cases to ensure only medically appropriate services are reimbursed. Recommends a policy and process that ensure alignment with company guidelines and nationally accepted medical/coding standards. Being a Medical Policy Specialist establishes the proper codes to use for claims processing. Responds to questions from medical staff and communicates details about policy and guidelines. Additionally, Medical Policy Specialist requires a bachelor's degree. Typically reports to a supervisor or manager. Requires Registered Nurse RN. The Medical Policy Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Medical Policy Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Summary
Illinois Policy Institute is seeking a Policy Researcher with outstanding organizational and communication skills to join our team of policy and legal researchers. Responsibilities will include providing research and other support for policy team projects on fiscal, poverty, crime, education, labor, and other issues.
Responsibilities
Skills and qualifications
Salary and benefits:
Range of $40,000 to $55,000 base salary, commensurate with experience. Performance-based annual bonus on top of base salary. Compensation package includes health (medical and dental plans with employer-paid share), 401(k), flexible spending benefits, and vacation and sick days.
Location:
The Policy Researcher will work in our Chicago office. Illinois Policy Institute has a hybrid work policy where employees can work from home up to three days each week.
To apply:
Qualified candidates should submit the following application materials: