Requires a North Carolina RN license and 3 years of clinical experience, or an NC-licensed LPN, PT, or OT with 5 years of clinical experience.
Key Responsibilities
- analyzing appeals
- coordinating processes
- documenting determinations
Skills & Tools
Corporate Medical Policy (CMP), National Committee for Quality Assurance (NCQA)
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — North Carolina or United States or Alabama or Arizona or Arkansas or Colorado or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Wisconsin or Wyoming or Durham
- Salary: USD 73,698 – 117,917 / year
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Tuition reimbursement
- Generous parental leave
About Blue Cross and Blue Shield of North Carolina
A not-for-profit health insurer working to improve healthcare and community health in North Carolina. — Industry: Healthcare