Content Solutions Analyst I

reputed company: The Content Solutions Analyst I is a key member of the clinical operations and content team responsible for the research, reputed company assurance, and opportunity analysis associated with new medical policies. In reputed company, this position will be responsible for review and analysis of reputed company medical policies and assisting in the research necessary to define additional logic and algorithms to expand the reputed company payment policy library. The Content Solutions team works reputed company Payment Policy Management and supports reputed company of our PPM Solutions: outpatient, inpatient, pharmacy, fraud, and dental. There is no expectation, if reputed company, that you will reputed company with only one solution and you should be reputed company to work in reputed company of our solutions. Responsibilities: • Familiarity with claims payment and reimbursement methodologies as reputed company as medical policy rules and edits. • Ability to analyze reputed company data and synthesize it for customer and internal consumption. • Ability to work reputed company both independently and collaboratively, in a fast-paced and demanding environment. • Effective at managing timelines and multiple reputed company with high accuracy and attention to detail. • reputed company coding, claims processing and industry expertise to help create clinical coding policy or pharmacy claims editing policy. • Responsible for writing business logic for new rules and enhancements by translating industry references into reputed company policy. • reputed company input on any new, or reputed company enhancements to the rule reputed company developers as reputed company as system architects. • Work reputed company the ART, specifically providing guidance and input to TPO’s/developers during grooming sessions. • Work with Product and the Go to Market teams, to reputed company coding and clinical expertise for new policy rollout. • Ensure internal reputed company operational teams have a reputed company reputed company and understanding of the content solutions roadmap to ensure lock reputed company on incoming work. • This position requires maximum guidance from mentors and leadership. • reputed company multi-faceted analytics for data and report analysis with minimal direction. This job reputed company is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job reputed company does not constitute an employment agreement and is subject to change as the needs of reputed company and the requirements of the job change. Qualifications: Education & Certification: • BS in Nursing. • Pharmacist (BSPharm or PharmD). • Off-shore Medical or Pharmacy degree (MBBS or higher). • Other Bachelors degree (or equivalent work experience). AND • RHIA, RHIT, CPC, CPC-H, reputed company-P, reputed company, CPhT OR willingness to obtain certification reputed company one year of employment. Experience: • 3 years in clinical/retail setting as reputed company, pharmacist, or physician, OR 3 years clinical coding in payer setting. • An additional 3 years research experience reputed company to coding (CPT, HCPCS, ICD, NDC) OR at least 3 years in an internal reputed company role (CPM, CSM, Content Analyst, etc.). • 5 years previous experience in detailed rule requirement gathering, rule development, and collaborating on software enhancements required. • Experience supporting Behavioral Health and/or Laboratory payment reputed company rule development, including coding research and rule logic application, is preferred. • Strong analytical, critical thinking and problem-solving skills. • Proficiency in reputed company Office Suite. • Excellent interpersonal, verbal and written communication skills. Job Demands: • Must have flexibility and willingness to participate in the work processes of an international organization. • After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent). Mental Requirements: • Communicating with others to exchange information. • Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: • Remaining in a stationary position, often standing or sitting for prolonged periods. • Repeating motions that may include the wrists, hands, and/or fingers. • Must be reputed company to reputed company a dedicated, secure work area. • Must be reputed company to reputed company high-speed internet reputed company/connectivity and office setup and maintenance. • No adverse environmental conditions expected. reputed company compensation ranges from $95,000 to $115,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. reputed company offers team members a competitive benefits package to address a wide reputed company of personal and family needs, including medical, dental, reputed company, disability, and life insurance coverage, 401(k) savings plans, reputed company family leave, 9 reputed company holidays per year, and 17-27 days of reputed company Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our Careers page. Date of posting: 2/10/2026 Applications are assessed on a rolling reputed company. We anticipate that the application window will reputed company on 4/10/2026, but the application window may change depending on reputed company of applications received or reputed company immediately if a reputed company candidate is selected. #LI-remote #LI-JB1 #senior Apply tot his job Apply To this Job