Harrisburg, PA

Medical Policy Support Consultant

Capital BlueCross seeks a health professional to support the policy/ 

procedure process for clinical areas and activities associated with  

external review/compliance; provide coding support to Clinical  

Management; and translate clinical concepts into codes to support  

configuration requirements.

You must be a Registered Nurse with an active Pennsylvania license  

and 5+ years experience in a managed care/health insurance  

environment clinical setting.  Knowledge of current/ emerging  

clinical management practices; Medicare guidelines/regulations; and  

managed care offerings and how

benefits are to be interpreted, delivered and managed is necessary.

EOE/AA.  Excellent compensation and benefits are offered.  Send  

resume to: Email resume to:  human.resources@capbluecross.com

Mail: 

Capital BlueCross

Staffing  

Harrisburg, PA 17177-2211

www.capbluecross.com