Medical Utilization Analyst Job in Newark, New Jersey US

Job Summary  This position is accountable for the detection, investigation, resolution and prevention of utilization abuse and mismanagement of BCBS benefits by providers and subscribers. Assists in the development and implementation of all projects and programs, which support the Plan’s Cost Containment efforts.   Job Qualifications  Education/Experience: 1.  Requires a Bachelor’s degree. 2.  Requires a Registered Nurse (RN) license. 3.  Requires a minimum of two years clinical experience. 4.  Requires a minimum of one year business/insurance experience with Utilization Review or medical Read more […]

December 12, 2011 • Tags: , • Posted in: General • Comments Off on Medical Utilization Analyst Job in Newark, New Jersey US