Our Client, a Health Insurance company, is looking for a Registered Nurse-Review Analyst for their Detroit, MI/Hybrid location. Responsibilities: + Develop and maintain Medicare Medical Policies ensuring policies are approved, implemented, and placed in repository, including annual reviews/updates + Collaboration with Medical Director on medical policy development and maintenance + Assist with the review of commercial medical policy meeting minutes to update Medicare Policies where needed + Supporting the preparation of policies and documents for Criteria Review Commitee and Utilization Management Committee Meetings + Research CPT or HCPCS codes as needed + Researching medical technologies as needed for specific cases requesting authorizations on technologies + Familiar with Microsoft Office products + Respond to inquiries from other teams. Requirements: + Experience in Medicare and managed care health insurance medical policy. + Strong written communication skills: ability to write clear and concise documents + Experience with collaborative projects + Research, gather, plan, organize and evaluate information from multiple sources + Knowledge of CPT and HCPCS codes + Critical thinking and problem-solving skills + Clinical experience + Familiar with Microsoft Office products + Registered nurse with two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc. + Demonstrated clinical knowledge and experience relative to patient care and health care delivery processes. + One (1) year health insurance plan experience or managed care environment preferred. + Registered Nurse with current unrestricted Michigan Registered Nurse license required. Preferred Skills/Experience – Optional but preferred skills/experience. Include: + Experience with medical Billing/Coding + Knowledge of CMS Medicare coverage guidance + Experience in maintaining a repository of documents Why Should You Apply? + Health Benefits + Referral Program + Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.