CVS Health
Bringing our heart to every moment of your health.
Payment Policy Writer, Code Editing Manager – Health Services
Location
Florida
Posted
1 day ago
Salary
$54.3K - $145.9K / year
Bachelor Degree3 yrs expEnglish
Job Description
• Ensures compliance with healthcare regulations and policies for state Medicaid and Duals line of business as it related to payment policies.
• Support the operational processes of the Medicaid Health Policy Governance.
• Monitor status reports to ensure effective workflow and timely development of coding and payment policies.
• Support internal departments and processes in the development and implementation of policies and procedures.
• Ensure all medical policies are compliant with relevant regulations and are consistent across all lines of business.
• Participate in department initiatives, scorable action items, and projects.
• Work with health plan business leaders and corporate leaders to develop deliverables on policy priorities.
• Provide medical coding and payment policies deliverables for Medicaid and Duals and other markets as business needs change.
• Work with business product owners, government relations, and compliance leads to monitor legislative and regulatory activities for potential impact on existing or proposed policies.
• Collaborate with interdisciplinary team members to achieve team goals.
• Perform any other job duties as requested.
Job Requirements
- 3 years of healthcare-related writing experience.
- Experience in writing payment policies for state specific Medicaid policy, Medicare policy writing a plus.
- 3 years of experience in medical policy development and/or implementation.
- Coding and managed care background.
- Effective communication skills, both verbal and written.
- Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment.
- Proficiency with computer skills which includes navigating multiple systems and keyboarding.
- Strong presentation skills.
- Ability to travel up to 10% for meetings as needed.
- Bachelor's degree preferred/specialized training/relevant professional qualification.
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching.
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access and many other benefits depending on eligibility.