Medical Policy Coordinator - Chicago, IL AIM 66537
WellPoint - Chicago, IL

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This position is located in Chicago, Illinois

AIM Specialty Health (AIM) , a proud member of the WellPoint family of companies, is a national leader in specialty benefit management. Through an innovative technology platform and steadfast commitment to excellent customer service, AIM promotes the appropriate, safe and cost effective use of clinical services including: radiology, cardiology, oncology, specialty drugs, and sleep medicine.

Bring your expertise to our forward-thinking and achievement-driven culture. At AIM, you will discover lasting rewards and an opportunity to take your career to new heights.

AIM’s Clinical Group is seeking a Medical Policy Coordinator, responsible for developing and maintaining a systematic process for responding to and managing payer Medical Policy including Commercial, Medicare Advantage and Medicaid.

Primary duties may include, but are not limited to:
Researches and responds to inquiries. Tracks and logs Central Inquiry programs.

Maintains electronic tracking tools

Analyzes patterns for improvement opportunities and participate in process improvement efforts

Investigates and reviews new medical policies including Medicare NCD/LCD, health plan medical policy

Support process manager and knowledge services in clinical appropriateness guidelines process About AIM Specialty Health
AIM Specialty Health (AIM) is a leading specialty benefit management company with more than 20 years of experience and a growing presence in the management of radiology, cardiology, oncology, sleep medicine, and specialty pharmacy benefits. Our mission is to make healthcare services more clinically appropriate, safer and more affordable. As such, we promote the most appropriate use of specialty care services through the application of widely accepted clinical guidelines delivered via an innovative platform of technologies and services. With over 32 million members covered across 50 states, AIM ensures delivery of the right test at the right time in the right place.

We maintain offices in Chicago, Deerfield, Schaumburg and Westchester, IL as well as Glendale, CA. This position will be located at our Chicago Corporate Office, convenient to the Kennedy Expressway (I-90) at Cumberland Avenue.

AIM‘s services include:
Prospective clinical review of outpatient advanced imaging procedures such as CT, MRI, Nuclear Cardiology and PET Scans

Clinical review for cardiology and specialty pharmacology products and services.

Oncology Management programs leveraging AIM's proven specialty benefit platform to drive consistent and effective cancer care through services review along with management of close to 70 oncologic drugs.

Specialty Drugs programs to provide review for over 142 specialty drugs offering providers an automated drug review process through our provider friendly web portal.

Sleep Management, designed to align the diagnosis and treatment of sleep apnea against clinical guidelines, enhance member access to high value providers and ensure treatment compliance for the dispensing of supplies.
Our programs combine clinical excellence, its innovative technology and a commitment to customer service, ensuring the company’s on-going leadership in the rapidly evolving healthcare environment.

AIM is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the Utilization Review Accreditation Commission (URAC.)

A Leading Employer of Choice
Along with a dynamic, entrepreneurial work environment, AIM offers competitive compensation, a generous benefits package and the opportunities for career progression you'd expect from an industry leader.

These benefits include:
An array of Health, Dental and Vision Care Insurance plans

Term Life Insurance

Short- and Long-term Disability Insurance

401(k) Employee Savings Plan with company match

Paid Time Off

Tuition Reimbursement

Tax-advantaged health care and dependent flexible spending plans

Health club reimbursement allowance

Licensure reimbursement for medical professionals

Our total rewards package is designed to attract, motivate and retain qualified individuals. Whether you are interested in medical utilization management, nursing, information technology, accounting and finance, marketing or human resources, there may be an opportunity for you at AIM. As an Equal Opportunity/Affirmative Action employer, we are committed to promoting diversity in the workplace.
This position is located in Chicago, Illinois

AIM Specialty Health (AIM) , a proud member of the WellPoint family of companies, is a national leader in specialty benefit management. Through an innovative technology platform and steadfast commitment to excellent customer service, AIM promotes the appropriate, safe and cost effective use of clinical services including: radiology, cardiology, oncology, specialty drugs, and sleep medicine.

Bring your expertise to our forward-thinking and achievement-driven culture. At AIM, you will discover lasting rewards and an opportunity to take your career to new heights.

AIM’s Clinical Group is seeking a Medical Policy Coordinator, responsible for developing and maintaining a systematic process for responding to and managing payer Medical Policy including Commercial, Medicare Advantage and Medicaid.

Primary duties may include, but are not limited to:
Researches and responds to inquiries. Tracks and logs Central Inquiry programs.

Maintains electronic tracking tools

Analyzes patterns for improvement opportunities and participate in process improvement efforts

Investigates and reviews new medical policies including Medicare NCD/LCD, health plan medical policy

Support process manager and knowledge services in clinical appropriateness guidelines process About AIM Specialty Health
AIM Specialty Health (AIM) is a leading specialty benefit management company with more than 20 years of experience and a growing presence in the management of radiology, cardiology, oncology, sleep medicine, and specialty pharmacy benefits. Our mission is to make healthcare services more clinically appropriate, safer and more affordable. As such, we promote the most appropriate use of specialty care services through the application of widely accepted clinical guidelines delivered via an innovative platform of technologies and services. With over 32 million members covered across 50 states, AIM ensures delivery of the right test at the right time in the right place.

We maintain offices in Chicago, Deerfield, Schaumburg and Westchester, IL as well as Glendale, CA. This position will be located at our Chicago Corporate Office, convenient to the Kennedy Expressway (I-90) at Cumberland Avenue.

AIM‘s services include:
Prospective clinical review of outpatient advanced imaging procedures such as CT, MRI, Nuclear Cardiology and PET Scans

Clinical review for cardiology and specialty pharmacology products and services.

Oncology Management programs leveraging AIM's proven specialty benefit platform to drive consistent and effective cancer care through services review along with management of close to 70 oncologic drugs.

Specialty Drugs programs to provide review for over 142 specialty drugs offering providers an automated drug review process through our provider friendly web portal.

Sleep Management, designed to align the diagnosis and treatment of sleep apnea against clinical guidelines, enhance member access to high value providers and ensure treatment compliance for the dispensing of supplies.
Our programs combine clinical excellence, its innovative technology and a commitment to customer service, ensuring the company’s on-going leadership in the rapidly evolving healthcare environment.

AIM is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the Utilization Review Accreditation Commission (URAC.)

A Leading Employer of Choice
Along with a dynamic, entrepreneurial work environment, AIM offers competitive compensation, a generous benefits package and the opportunities for career progression you'd expect from an industry leader.

These benefits include:
An array of Health, Dental and Vision Care Insurance plans

Term Life Insurance

Short- and Long-term Disability Insurance

401(k) Employee Savings Plan with company match

Paid Time Off

Tuition Reimbursement

Tax-advantaged health care and dependent flexible spending plans

Health club reimbursement allowance

Licensure reimbursement for medical professionals

Our total rewards package is designed to attract, motivate and retain qualified individuals. Whether you are interested in medical utilization management, nursing, information technology, accounting and finance, marketing or human resources, there may be an opportunity for you at AIM. As an Equal Opportunity/Affirmative Action employer, we are committed to promoting diversity in the workplace.

About this company
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We recently changed our name from WellPoint to Anthem, Inc., the name people know us by best. As our companies continue to take a more...