What are the responsibilities and job description for the Correspondence Policy Manager position at Idaho State Job Bank?
Correspondence Policy Manager at Evolent Health in Boise, Idaho, United States Job Description Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work / life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing : Our shared services team offers candidates the opportunity to make a meaningful impact by providing exceptional support to internal and external customers through positive interactions, and timely delivery of high-quality products. Our team values collaboration, continuous learning, and a customer-centric approach, ensuring that every team member contributes to providing better health outcomes. Responsible for the development, approval, and maintenance of clinical correspondence to ensure compliance with legislative and accreditation requirements. Act as the clinical liaison to the Compliance Department. What You Will Be Doing : 'Develops and customizes correspondence according to regulatory requirements and contractual requirements including coordinating Compliance Department approval for new and existing business. Provides oversight of the use of appropriate correspondence and review requests for new or modifications to existing correspondence templates. Clinical liaison to Compliance Department. Oversees clinical correspondence for all products in collaboration with compliance. Reviews correspondence and clinical policy submissions under our UR licensure submissions. Updates clinical correspondence templates as needed to ensure they meet the minimum standards for National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Commission (URAC), Employee Retirement Income Security Act of 1974 (ERISA), Centers for Medicare and Medicaid Services (CMS), and Company Policy across product lines and business segments. Develop policies for new or existing business, as assigned. Research state regulatory requirements f To view full details and how to apply, please login or create a Job Seeker account
