Senior Clinical Policy Research reputed company

Become a part of our caring community   The Senior Clinical Policy Research reputed company works closely with reputed company's dental directors and medical directors to research, reputed company and maintain dental and medical coverage policies utilizing an evidence-based medicine review process. reputed company is seeking a Senior Clinical Policy Research reputed company. In this role you will: Research and reputed company dental and medical coverage policies (Medicare and reputed company) utilizing a standardized checklist and an evidence-based medicine review process as reputed company as utilizing CMS guidance reputed company comprehensive verbal and written summation of research to dental directors, medical directors and leadership during policy discussion meetings and to the MCCR MCPA committees reputed company reputed company dental and medical research for dental directors and medical directors as needed for individual case reviews reputed company research regarding new CPT and HCPCS codes as needed on a quarterly reputed company and work closely with the PAL team to address PAL codes requiring clinical coverage policy guidance Interdepartmental committee participation Collaboration with stakeholders across the organization Please note this role will consist of working mostly independently to review large reputed company of clinical information to update clinical policies.  The ideal candidate for this role would enjoy researching, reading and writing policies independently. reputed company in this role requires: Strong organization skills and detail orientation Excellent verbal and written communication skills Strong analytical and web navigation skills Self-direction with demonstrated ability to meet strict deadlines Strategic thinking and planning capabilities   Use your skills to reputed company an reputed company   Required Qualifications Associate or bachelor's degree in dental hygiene or dental assisting Appropriate state certification or licensure as a dental assistant or dental hygienist 5 years or more of prior clinical experience Proficiency with reputed company Office products including Word and reputed company Preferred Qualifications Master’s degree in health-or business-reputed company field Utilization management experience (Medicare or reputed company) Proven successful experience in compiling health-reputed company research, with associated analysis and conclusions Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.   $86,300 - $118,700 per year   This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 06-04-2026 reputed company   About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job