Remote RN Clinical Policy Writer & Policy Consultant

Optum; Minnetonka (MN); Teletrabalho; USD 92 000 - 164 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Benefits package

Stock purchase plan

401k contribution

Telecommuter policy

Resumo da oferta

Optum is seeking a Clinical Consultant RN, Medical Policy Writer for a remote role within the United States. You will lead clinical oversight of product medical policies, develop utilization guidelines, and support COE network criteria.

The role requires RN licensure, 3+ years in clinical writing and literature analysis, plus strong MS Office skills. Telecommuter-friendly with competitive compensation and benefits.

Qualificações

• Bachelor’s degree in nursing.
• Active, unrestricted RN license.
• 3+ years of experience with scientific/medical literature search/retrieval/analysis.
• 3+ years of experience with clinical writing such as medical policies, utilization management guidelines, or patient education materials.
• Experience with public speaking including delivering presentations to professional and executive-level audiences.
• Familiarity with or experience in applying the principles of healthcare quality review.
• Proficient in Microsoft Word, PowerPoint, and Excel; proven ability to build collaborative relationships.

Responsabilidades

• Research and develop clinical utilization management guidelines.
• Develop selection criteria for products with a COE network and conduct annual literature reviews.
• Plan and execute annual expert panels with external physician leaders.
• Support network qualification decisions including COE status appeals and quality outcome reviews.
• Investigate quality of care in outcomes related to transplant and other therapies.
• Develop medical billing code sets for claims-based analyses and provide clinical support.
• Assist in development and market launch of new Optum products.
• Support survey coordination during network qualification processes.

Conhecimentos

RN license

Literature review

Clinical writing

Public speaking

Quality review

Microsoft Word

PowerPoint

Excel

Formação académica

Bachelor's degree in nursing

Ferramentas

Microsoft Office Suite

Descrição da oferta de emprego

Optum is seeking a Clinical Consultant RN, Medical Policy Writer for a remote role within the United States. You will lead clinical oversight of product medical policies, develop utilization guidelines, and support COE network criteria.

The role requires RN licensure, 3+ years in clinical writing and literature analysis, plus strong MS Office skills. Telecommuter-friendly with competitive compensation and benefits.