North Carolina Clinical Policy Analyst

A company is looking for a Clinical Planning and Policy Analyst. Key Responsibilities Conduct qualitative research and develop medical necessity criteria for Medicaid expansion Serve as a resource for medical policy-related questions and provide technical support Manage project activities related to medical policies and facilitate document management Required Qualifications Bachelor's degree in health policy, health services research, social science, or a related field Three years of experience in evaluating, analyzing, researching, and developing health care services and policies Master's degree and five years of experience preferred Lean Six Sigma certification preferred Experience with Medicaid, Medicare, and commercial insurance medical necessity guidelines