Remote Medical Policy Writer - Healthcare Policy & Analytics

CareSource; Dayton (OH); A distancia; USD 72.000 - 116.000; Jornada completa

Descripción de la vacante

CareSource seeks a Medical/Clinical Policy Writer to research and develop moderate to complex Medical/Clinical, BH, and Reimbursement policies, ensuring adherence to applicable guidelines. The role supports the Policy Governance Committee and coordinates across departments to advance policy initiatives.

Responsibilities include literature review, policy bibliographies, and collaboration with product leaders and experts to deliver timely, compliant policies for Medicare, Medicaid, MyCare, D-SNP,

Formación

• Bachelor’s degree or equivalent years of relevant work experience required.
• Advanced degree or equivalent preferred for healthcare policy roles.
• Minimum two years healthcare-writing experience preferred; clinical background beneficial.
• Minimum two years in medical policy development or implementation preferred.

Responsabilidades

• Support the operational processes of the Policy Governance Committee.
• Monitor status reports to ensure timely development of medical and pharmacy policies.
• Support internal departments in policy development and implementation.
• Ensure policies are compliant with regulations and consistent across lines of business.
• Research clinical literature to create work products for policy input and CPC.
• Create and update policy bibliographies.
• Collaborate with business leaders to develop policy deliverables on priorities.
• Coordinate with subject matter experts to develop policy perspectives.
• Monitor legislative/regulatory activities for potential policy impact.
• Collaborate with interdisciplinary team members to achieve goals.
• Knowledge of NCQA policy timely requirements.
• Perform any other job duties as requested.

Conocimientos

Microsoft Word

Excel

Bibliographic software

Search engines

Medical terminology

Clinical policy knowledge

Educación

Bachelor’s degree

Advanced degree preferred

Descripción del empleo

CareSource seeks a Medical/Clinical Policy Writer to research and develop moderate to complex Medical/Clinical, BH, and Reimbursement policies, ensuring adherence to applicable guidelines. The role supports the Policy Governance Committee and coordinates across departments to advance policy initiatives.

Responsibilities include literature review, policy bibliographies, and collaboration with product leaders and experts to deliver timely, compliant policies for Medicare, Medicaid, MyCare, D-SNP,