RN Medical Coverage Policy Consultant

HealthPartners is hiring an RN Medical Coverage Policy Consultant. The Consultant is responsible for the development, maintenance, review, and implementation of medical policies/criteria which support clinical decision-making coverage for services that are rooted in scientific evidence, proven to positively impact healthcare outcomes. This position monitors, reviews and analyzes medical literature for current, new and emerging technology. This position also manages administrative criteria which supplement benefits and third-party resources. The Consultant is a collaborative position that works with many cross functional departments including Claims, Utilization Management (UM), Medical Directors, Contracts and Benefits, Member Services/Appeals, and Government Programs to support policy changes. The position serves as a content expert related to medical coverage policies and offers continued support to internal and external partners.

 This is a hybrid role, with onsite prese...