Elevance Health

Medical Policy Analyst

Elevance Health

Boston, MA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

At Elevance Health, we are dedicated to improving the healthcare industry through innovative policies and solutions. We are currently seeking a highly motivated and experienced Medical Policy Analyst to join our team. As a Medical Policy Analyst, you will play a crucial role in developing and implementing policies that drive positive change in the healthcare landscape. We are looking for someone with a strong background in healthcare policy and a passion for making a difference in the lives of patients and providers. If you are a driven individual with excellent analytical skills and a desire to be a part of a dynamic team, we would love to hear from you.

  1. Conduct thorough research and analysis of current healthcare policies and regulations to identify areas for improvement and propose new policies and solutions.
  2. Collaborate with cross-functional teams to develop and implement effective policies and strategies that align with the company's goals and objectives.
  3. Monitor and evaluate the impact of existing policies and make recommendations for updates and improvements as needed.
  4. Stay informed about industry trends, changes in regulations, and other key developments in the healthcare landscape to ensure policies are up-to-date and in compliance.
  5. Create and maintain detailed documentation of policies, including rationale and supporting data, to ensure transparency and accountability.
  6. Communicate policy changes and updates to relevant stakeholders and ensure understanding and compliance.
  7. Conduct cost-benefit analyses to determine the potential impact of proposed policies on the company and the healthcare industry as a whole.
  8. Collaborate with legal and compliance teams to ensure all policies are in line with applicable laws and regulations.
  9. Provide guidance and support to other team members on policy-related matters.
  10. Act as a subject matter expert on healthcare policy and serve as a resource for internal and external stakeholders.
  11. Continuously identify and pursue opportunities for policy improvements and efficiencies.
  12. Represent the company at industry events and conferences, sharing insights and expertise on healthcare policies and regulations.
Where is this job?
This job is located at Boston, MA, USA
Job Qualifications
  • Excellent Communication And Interpersonal Skills, With The Ability To Collaborate With Cross-Functional Teams And Present Findings To Stakeholders.

  • Advanced Degree In Healthcare Administration, Public Health, Or A Related Field.

  • At Least 3-5 Years Of Experience In Healthcare Policy Analysis And Development.

  • Extensive Knowledge Of Healthcare Regulations, Compliance, And Reimbursement Systems.

  • Strong Analytical Skills With The Ability To Interpret Data And Make Evidence-Based Recommendations.

Required Skills
  • Quality Assurance

  • Strategic Planning

  • Project Management

  • Data Analysis

  • Communication

  • Problem Solving

  • Writing Skills

  • Critical Thinking

  • Decision Making

  • Policy Development

  • Policy Research

  • Healthcare Regulations

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Attention to detail

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Medical Policy Analyst in Boston, MA, USA is $61,789 - $115,097 per year. This range may vary depending on the specific company, level of experience, and additional skills and qualifications of the individual.

Additional Information
Elevance Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedOctober 14th, 2024
Apply BeforeMay 10th, 2026
This job posting is from a verified source. 
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About Elevance Health

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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