Registered Nurse – Medical Policy Development, Research Specialist

🕒 April 30

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔬 Research Analyst

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Blue Cross Blue Shield of Arizona

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1939

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Insurance • Wellness

Blue Cross Blue Shield of Arizona is a health insurance provider offering a variety of health plans tailored to individuals, families, employers, and Medicare recipients. With a commitment to improving healthcare access and community health, AZ Blue provides self-insured and ACA-compliant health plans, including Medicare Advantage and Medicaid options. The organization focuses on connecting members with care through its extensive network, aiming for better health outcomes and community support.

📋 Description

• Perform medical technology research to support the Medical Director Staff and Medical Policy Panel with decisions to ensure that medical policies are consistent with the standards of accepted medical practice in the community. • Develop and revise coverage guidelines and criteria as requested by management, Medical Director staff or Medical Policy Panel. • Communicate medical policy information in protocol format to all areas of BCBSAZ requiring this information. • Participate as a contributing member on the Medical Policy Panel providing medical policy issues for discussion. • Maintain a thorough knowledge of all BCBSAZ medical coverage guidelines and other policies.

🎯 Requirements

• 2 year(s) of experience in clinical field of practice, health insurance, or other health care related field (All Levels) • 1 year(s) of experience in medical policy and technology research field (Applies to Level 2) • 2 year(s) of experience in medical policy and technology research field (Applies to Level 3) • Associate’s Degree in general field of study or Post High School Nursing Diploma or Certification (LPN only) from an approved program (Applies to All Levels) • Active, current, and unrestricted license to practice in the State of Arizona as a health professional, including RN, LPN, LPT, LBSW, LMSW, or LCSW.

🏖️ Benefits

• Flexible work arrangements • Health insurance