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Medical Policy Implementation Coordinator
Medical Policy Implementation Coordinator-March 2024
Eagan
Mar 29, 2025
About Medical Policy Implementation Coordinator

  About Blue Cross Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We're committed to reinventing health care to improve health for our members and the community. We hope you'll join us. How Is This Role Important to Our Work? The Medical Policy Implementation Coordinator works with the Medical Policy and Utilization Management (UM) Implementation Team to manage the operations of the medical policy development and implementation process as well other UM activities. This role will provide non-clinical project management and implementation support. A Day in the Life: Manage the operational components of the Medical Policy decision making committees that lead up to medical policy approval (i.e. Medical Behavioral Health Committee, Coverage Committee, and prep meetings leading up to formal committees)-including meeting coordination, issues management, minutes, follow-up, payment, etc. Designs and maintains spreadsheets and documents, databases and other systems for record keeping, project tracking and reporting to meet management requirements. Monitor and track the Medical Policy and UM issues such as requests from vendors, medical policy inquiries from providers, etc. Coordinates and performs special projects and assignments within specific time frames. Preparation and posting of new/revised and consent policies. Assist in maintaining policy tracking and status during implementation. Assist with Medical/Behavioral Health policy database updates and changes. Creation of reports and dashboards for Medical Policy and UM Implementation. Team Project management support as needed. Nice to Have: Associate's or Bachelors Degree in business or related field. Knowledge of medical terminology. Project management experience. Required Skills and Experiences: 2+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered. Experience in a health care setting. Intermediate-advanced knowledge of Microsoft office suite. Experience in database management. Ability to manage key details and keep areas of accountability organized. Strong interpersonal, written and verbal communication skills. Ability to prioritize effectively. Make A Difference Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic. Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected]. All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S. Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.

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