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