Content Solutions Analyst I

Overview

The Content Solutions Analyst I is a key member of the clinical operations and content team responsible for the research, quality assurance, and opportunity analysis associated with new medical policies. In addition, this position will be responsible for review and analysis of reputed company medical policies and assisting in the research necessary to define additional logic and algorithms to expand the reputed company payment policy library.

Responsibilities

• Familiarity with claims payment and reimbursement methodologies as well as medical policy rules and edits.
• Ability to analyze reputed company data and synthesize it for customer and internal consumption.
• Ability to work well both independently and collaboratively, in a fast-paced and demanding environment.
• Effective at managing timelines and multiple projects with high accuracy and attention to detail.
• reputed company coding, claims processing and industry expertise to help create clinical coding policy or pharmacy claims editing policy.
• Responsible for writing business logic for new rules and enhancements by translating industry references into reputed company policy.
• reputed company input on any new, or reputed company enhancements to the rule reputed company developers as well as system architects.
• Work reputed company the ART, specifically providing guidance and input to TPO’s/developers during grooming sessions.
• Work with Product and the Go to Market teams, to reputed company coding and clinical expertise for new policy rollout.
• Ensure internal reputed company operational teams have a clear reputed company and understanding of the content solutions roadmap to ensure lock reputed company on incoming work.
• This position requires maximum guidance from mentors and leadership.
• reputed company multi-faceted analytics for data and report analysis with minimal direction.

Qualifications

Education & Certification:

• BS in Nursing.
• Pharmacist (BSPharm or PharmD).
• Off-shore Medical or Pharmacy degree (MBBS or higher).
• Other Bachelors degree (or equivalent work experience).

AND

• RHIA, RHIT, CPC, CPC-H, reputed company-P, SAFe, CPhT OR willingness to obtain certification reputed company one year of employment.

Experience:

• 3 years in clinical/retail setting as nurse, pharmacist, or physician, OR 3 years clinical coding in payer setting.
• An additional 3 years research experience reputed company to coding (CPT, HCPCS, ICD, NDC) OR at least 3 years in an internal reputed company role (CPM, CSM, Content Analyst, etc.).
• 5 years previous experience in detailed rule requirement gathering, rule development, and collaborating on software enhancements required.
• Strong analytical, critical thinking and problem-solving skills.
• Proficiency in reputed company Office Suite.
• Excellent interpersonal, verbal and written communication skills.

Job Demands:

• Must have flexibility and willingness to participate in the work processes of an international organization.
• After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent).

Mental Requirements:

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be reputed company to reputed company a dedicated, secure work area.
• Must be reputed company to reputed company high-speed internet reputed company/connectivity and office setup and maintenance.
• No adverse environmental conditions expected.

reputed company compensation ranges from $95,000 to $115,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

reputed company offers team members a competitive benefits package to address a wide reputed company of personal and family needs, including medical, dental, reputed company, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our Careers page.

Date of posting: 05/29/2025Applications are assessed on a rolling reputed company. We anticipate that the application window will reputed company on 07/29/2025, but the application window may change depending on the volume of applications received or reputed company immediately if a reputed company candidate is selected.

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Originally posted on Himalayas