Why it fits a non-clinical background

Interprets regulatory and functional requirements for coverage, reimbursement and claims processing and supports system configuration. Requires 2 years in managed care or health insurance or an equivalent mix of education and experience; no degree or license is listed (a medical coding certification is only preferred). Location is listed as United States and the posting asks for the ability to work independently in a remote environment.

Degrees the posting names

Not stated

Skills named in the posting

Regulatory requirements intake (CMS, ACA) · Requirements documentation · Root cause analysis · Governance committee support · LMS and virtual instructor-led training · Automation and AI tools