Clinical Policy Lead Analyst, Clinical Content - EviCore - Remote

EviCore by Evernorth; United States; Remote; USD 74,000 - 124,000; Full time

Job summary

A leading healthcare company is seeking a Clinical Policy Lead Analyst to develop, maintain, and present clinical guidelines. This role offers competitive compensation, comprehensive benefits, and the opportunity to engage in cross-enterprise projects aimed at enhancing healthcare experiences.

Benefits

Medical, vision, and dental benefits

401(k) with company match

Tuition reimbursement

Paid time off

Paid holidays

Qualifications

• Minimum of 3 years of experience in medical writing, research, and peer-reviewed publications.
• Degree in Nursing or related healthcare field.

Responsibilities

• Create and maintain technical assessments and evidence-based policy for clinical programs.
• Serve as primary author of evidence-based clinical guidelines.
• Monitor peer-reviewed literature updates.

Skills

Medical writing

Clinical research

Literature evaluation

Peer-reviewed publications

Education

Degree in Nursing or Healthcare related field

Job description

Clinical Policy Lead Analyst, Clinical Content - EviCore - Remote

Join to apply for the Clinical Policy Lead Analyst, Clinical Content - EviCore - Remote role at EviCore by Evernorth

Continue with Google Continue with Google

Clinical Policy Lead Analyst, Clinical Content - EviCore - Remote

Join to apply for the Clinical Policy Lead Analyst, Clinical Content - EviCore - Remote role at EviCore by Evernorth

Get AI-powered advice on this job and more exclusive features.

Sign in to access AI-powered advices

Continue with Google Continue with Google

Continue with Google Continue with Google

Continue with Google Continue with Google

Continue with Google Continue with Google

Continue with Google Continue with Google

Continue with Google Continue with Google

• Create and maintain technical assessments and evidence-based policy for clinical programs through evaluation of published literature.
• Serve as primary author of evidence-based for program-specific clinical guidelines
• Monitor peer-reviewed, published evidence-updates for relevant clinical programs
• Maintain evidence tables and apply evidence-grading to literature
• Apply evidence updates to clinical guidelines
• Maintain library of relevant literature
• Maintain policy library through regular assessments and updates and revise and maintain clinical guidelines in the content management system
• Present revised clinical guidelines to the Medical Advisory Committee (MAC)
• Present to external stakeholders as needed
• Work with internal stakeholders related to clinical guideline development, maintenance, and implementation
• Act as a subject matter expert for programs and guidelines assigned
• Partner with internal and external subject matter experts to assimilate current practice standards into clinical policy, reconciling with published literature
• Ensure downstream operational representation, such as branching logic, is consistent with the intent of the clinical policy as approved by MAC
• Provide thought leadership and subject matter expertise for complex projects, working across business units
• Engage in cross-enterprise projects through ICOG aimed at creating optimal health care experiences
  
  

Summary

Clinical Policy Lead Analyst:

• Create and maintain technical assessments and evidence-based policy for clinical programs through evaluation of published literature.
• Serve as primary author of evidence-based for program-specific clinical guidelines
• Monitor peer-reviewed, published evidence-updates for relevant clinical programs
• Maintain evidence tables and apply evidence-grading to literature
• Apply evidence updates to clinical guidelines
• Maintain library of relevant literature
• Maintain policy library through regular assessments and updates and revise and maintain clinical guidelines in the content management system
• Present revised clinical guidelines to the Medical Advisory Committee (MAC)
• Present to external stakeholders as needed
• Work with internal stakeholders related to clinical guideline development, maintenance, and implementation
• Act as a subject matter expert for programs and guidelines assigned
• Partner with internal and external subject matter experts to assimilate current practice standards into clinical policy, reconciling with published literature
• Ensure downstream operational representation, such as branching logic, is consistent with the intent of the clinical policy as approved by MAC
• Provide thought leadership and subject matter expertise for complex projects, working across business units
• Engage in cross-enterprise projects through ICOG aimed at creating optimal health care experiences
  
  

Minimum Qualifications

• Degree in Nursing or Healthcare related field (e.g.: Public Health, Healthcare Administration)
• Minimum of 3 years of experience in medical writing, clinical or policy research, literature evaluation and peer-reviewed publications.
  
  

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 74,400 - 124,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at EviCore by Evernorth by 2x

Get notified about new Policy Analyst jobs in United States.

Washington, DC $70,000 - $83,371 4 weeks ago

Washington, DC
$141,080.00
-
$162,242.00
2 weeks ago

Sr. Payer Policy Analyst (Genetic Counselor)- remote

North Carolina, United States
$75,000.00
-
$105,000.00
5 days ago

Washington, DC
$80,000.00
-
$90,000.00
4 days ago

KAP 2025-2026 - Criminal Justice & Drug Policy Analyst - Reason Foundation

Policy Analyst (Fiscal, Tax, Special Sits) | Washington Analysis

North Carolina, United States
$76,000.00
-
$100,000.00
4 days ago

Program/Policy Analyst Sr (Medi-Cal Compliance)

Orange, CA
$77,863.00
-
$124,581.00
2 weeks ago

Yemen Analyst - Publicly Available Information Analyst (Research and Analysis)

Guidewire Policy Center Business Analyst with Kufri - Remote

California, United States
$34.07
-
$37.86
3 days ago

KAP 2025-2026 - Transportation Policy Analyst - Reason Foundation

Policy Analyst (Fiscal, Tax, Special Sits) | Washington Analysis

Washington, United States
$28.21
-
$57.56
2 weeks ago

Senior Advisor-Policy and Compliance (Programme and Operations Manual Development Consultant)-Homebased

California, United States $28.21 - $57.56 2 weeks ago

Oregon, United States $28.21 - $57.56 2 weeks ago

Washington, United States $28.21 - $57.56 2 weeks ago

KAP 2025-2026 - Budget and Entitlement Reform Policy Analyst - Independent Women’s Forum

Product Compliance Analyst – Legal Research

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.