Policy Lead Registered Nurse

The Judge Group is an international leader in business technology consulting, talent solutions, and learning and development. With over 30 locations across the U.S., Canada & India, Judge is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government, aerospace & defense, manufacturing, and technology & telecommunications. Judge has always been committed to doing what’s right – for our colleagues, our client partners, and our communities. At Judge, we cultivate an inclusive environment that empowers our employees to produce their best work. As a family-owned business, we’re not just a high-performing team, but a high-performing family. Through building relationships and our cultural commitment to caring, we support one another.

Title: Claim Payment Policy Lead Location: Remote (must reside in PA, NJ, or DE) Duration: 3+ months, potential temp-to-perm Equipment: Candidate must provide their own

Develop and maintain claim payment policies aligned with industry standards and payer trends Lead cross-functional teams to identify cost-saving opportunities Monitor regulatory and reimbursement changes (CMS, Medicare, FDA) Present findings and policy bulletins to internal teams Apply coding expertise (CPT, ICD, HCPCS) to policy development Create business requirement documents and support coding initiatives Mentor staff and serve as SME in coding/clinical areas