NJM Insurance Group
Auto Insurance • Workers' Compensation Insurance • Homeowners Insurance • Commercial Auto Insurance • Renters Insurance
1001 - 5000 employees
Founded 1913
Clinical Documentation Specialist
Yesterday
🇺🇸 United States – Remote
🦌 Connecticut – Remote
🏖️ New Jersey – Remote
+2 more states
💵 $76.8k - $102.8k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
NJM Insurance Group
Auto Insurance • Workers' Compensation Insurance • Homeowners Insurance • Commercial Auto Insurance • Renters Insurance
1001 - 5000 employees
Founded 1913
Description
• Responsible for ensuring operational compliance to state, federal, and accreditation standards in Utilization Management and Case Management. • Subject matter expert in UM regulatory compliance requirements of MHPAEA, DOBI, IPRO, State, CMS, and NCQA. • Identify and implement opportunities for improvement in operational deficiencies. • Prepare and present policies and procedures impacting compliance with mental health parity and related regulatory standards. • Lead the development of policies and analyses supporting ongoing compliance with state and federal parity requirements. • Conduct educational and training sessions related to regulatory updates and requirements.
Requirements
• Bachelor's or Master's preferred in a healthcare degree from an accredited college or university. • Minimum of 5 years of business experience in the health insurance industry in a clinical role or as a health policy advisor. • Minimum of 2 years of regulatory guidance experience focused on Mental Health Parity and NQTL audit responses. • Experience with health insurance contract preparation and/or employee benefits plan drafting is preferred. • Clinical licensure preferred (RN, LPC, LCSW)
Benefits
• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement
Apply NowSimilar Jobs
December 13
As a Medical Writer, you'll drive regulatory documentation for Telix Pharmaceuticals' oncology products. Join a team focused on precision medicine for cancer.
December 11
Join Jairus Marketing as a Medical Copywriter specializing in content for healthcare clients.
November 26
Join Riverside as a remote RN specializing in clinical documentation excellence and quality assurance services.
November 22
Join OPEN Health as a Medical Writer, providing research and writing support for promotional materials. Collaborate with Medical Directors on various projects.
November 15
Join Parexel as a Medical Writer II, supporting clinical documentation across diverse projects.
🇺🇸 United States – Remote
💰 Venture Round on 1990-01
⏰ Full Time
🟡 Mid-level
🟠 Senior
🦅 H1B Visa Sponsor