Medical/Clinical Policy Writer (Work From Home)

CareSource • VA, US • published 2026-09-19 05:37:23.287004

Description

**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 subje...

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