Remote Medical Policy Writer | Healthcare Policy

CareSource; Virginia; Remote; USD 72,000 - 116,000; Full time

Job summary

CareSource in the United States is seeking a Medical/Clinical Policy Writer to research and develop moderate to complex Medical/Clinical, BH, and Reimbursement policies in line with state and federal guidelines. The role supports the Policy Governance Committee and collaborates across departments to ensure timely policy development.

The ideal candidate has a bachelor's degree (advanced life sciences/healthcare degree preferred) and at least two years of healthcare writing and policy development

Qualifications

• Bachelor's degree or equivalent years of relevant work experience is required.
• Advanced degree or equivalent education/degree in life sciences/healthcare is preferred.
• Minimum of two (2) years of healthcare-related writing experience preferred; clinical and managed care backgrounds preferred.
• Minimum of two (2) years of experience in medical policy development and/or implementation preferred.
• Strong presentation skills.

Responsibilities

• Support the operational processes of the Policy Governance Committee.
• Monitor status reports to ensure effective workflow and timely development of medical and pharmacy policies.
• Support internal departments and processes in policy development and implementation.
• Ensure all medical policies comply with regulations and are consistent across lines of business.
• Participate in department initiatives and projects.
• Research literature and guidelines to create work products for team input and inform CPC.
• Create and update policy bibliographies.
• Collaborate with health plan leaders and other stakeholders to develop policy deliverables.
• Provide policy deliverables for Medicare, Medicaid, MyCare, D-SNP, Marketplace and other markets.
• Coordinate with subject matter experts on policy issues impacting CareSource.
• Monitor legislative/regulatory activities for policy impact.
• Collaborate with interdisciplinary team members to achieve goals.

Skills

Analytical skills

Verbal and written communication

Presentation skills

Medical terminology and claims

Microsoft Word/Excel

Bibliographic software

Education

Bachelor's degree

Advanced degree in life sciences/healthcare

Tools

Microsoft Word

Microsoft Excel

Bibliographic software

Search engines

Job description

CareSource in the United States is seeking a Medical/Clinical Policy Writer to research and develop moderate to complex Medical/Clinical, BH, and Reimbursement policies in line with state and federal guidelines. The role supports the Policy Governance Committee and collaborates across departments to ensure timely policy development.

The ideal candidate has a bachelor's degree (advanced life sciences/healthcare degree preferred) and at least two years of healthcare writing and policy development