Clinical Analyst

Job Title: Clinical Analyst Job Location: Remote Job Duration: Contract / FTE Client: Federal Criteria- Need US citizenship because of federal regulations and the sensitive nature of the work involved. Ability to obtain Public Trust Clearance Must-have skills • US Healthcare / US Payer / Provider experience • Utilization Management / Utilization Review / Prior Authorization • Clinical or healthcare educational background • ICD-10, CPT, HCPCS • Claims, denials, billing or medical-necessity review • Provider communication / provider calls • Healthcare policy research and interpretation • Case investigation / issue resolution • Excel and reporting • SOP/process documentation • Strong written and verbal communication • Able to work 8 AM–6 PM EST coverage Originally posted on Himalayas