Medical/Clinical Policy Writer (Work From Home)
# Medical/Clinical Policy Writer (Work From Home) **CareSource** · United States · `Remote` · `Full Time` 💼 **Уровень роли:** `Mid-level` 💰 **Компенсация:** `$72,200 – $115,500` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Medical-Policy-Specialist]` `[Clinical-Policy-Writer]` `[Healthcare-Policy-Analyst]` `[Reimbursement-Policy-Specialist]` `[Clinical-Documentation-Specialist]` `[Remote-Health-Policy-Advisor]` `[Clinical-Content-Writer]` `[Remote-Policy-Analyst]` `[Regulatory-Medical-Writer]` --- ### About the Role Job Summary: Medical/Clinical Policy Writer research and develop moderate to complex Medical/Clinical, BH, and Reimbursement policies; ensure adherence to company, state, and federal guidelines. Essential Functions: - 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 the development and implementation of policies and procedures - Ensure all medical policies are compliant with relevant regulations and are consistent across all lines of business - Participate in department initiatives and projects - Research clinical and scientific literature and consensus guidelines to create work products for team input and to inform CPC - Create and update policy bibliographies - Work with health plan business product leaders, specialty companies, and corporate leaders to develop deliverables on policy priorities - Provide medical/clinical, BH, and reimbursement policies policy deliverables for Medicare, Medicaid, MyCare, D-SNP, Marketplace products and other markets as business needs change - Coordinate with subject matter experts to develop policy on issues that impact CareSource from medical/clinical, BH, and reimbursement policies policy perspectives - Work with business product owners, government relations, and compliance leads to monitor legislative and regulatory activities for potential impact on existing or proposed policies - Collaborate with interdisciplinary team members to achieve team goals - Knowledge of NCQA policy timely requirements - Perform any other job duties as requested Education and Experience: - 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 Competencies, Knowledge and Skills: - Computer skills/proficiency level with Microsoft Word, Excel, search engines, and bibliographic software - Knowledge of medical terminology and claims payment policies - Strong clinical expertise and healthcare administration understanding - Advanced analytical skills, with the ability to interpret and synthesize complex healthcare literature - Ability to interpret complex clinical information and apply to policy development - Excellent verbal and written communications skills - Presentation and decision-making skills - Excellent organization and tracking skills - Good problem-solving skills - Ability to interface with employees at all levels - Ability to handle multiple priorities/projects simultaneously Licensure and Certification: - RN or equivalent clinical licensure preferred, or in lieu of licensure: 2 years Clinical /Medical policy writing experience or equivalent Policy/Healthcare experience Working Conditions: - Virtual office opportunity (WFH), occasional travel to main office; may require sitting/standing for long periods of time Compensation Range: $72,200.00 - $115,500.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business Brand= CareSource Originally posted on Himalayas
- Medical-Policy-Specialist
- Clinical-Policy-Writer
- Healthcare-Policy-Analyst
- Reimbursement-Policy-Specialist
- Clinical-Documentation-Specialist
- Remote-Health-Policy-Advisor
- Clinical-Content-Writer
- Remote-Policy-Analyst
- Regulatory-Medical-Writer
Наблюдалась 2026-10-06, впервые 2026-10-06, источник — Himalayas (JSON API).