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](https://himalayas.app)