Clinical Policy Analyst/Writer (Remote)

Remote Full-time
About the position The Clinical Policy Analyst/Writer at Molina Healthcare is responsible for reviewing and evaluating existing clinical policies, proposing improvements, and researching new policies. This role involves creating detailed reports and analyzing market trends to enhance the effectiveness of clinical policies. The Analyst will work closely with various departments to improve existing processes and ensure that clinical policies are aligned with the best available evidence and industry standards. The position requires a strong understanding of the managed care industry and the ability to work independently while managing multiple tasks effectively. Excellent communication skills, both written and verbal, are essential for conveying complex information clearly and effectively to stakeholders. The Analyst will also be expected to perform independent research on complex medical topics, contributing to the development of comprehensive clinical policies that meet the needs of the organization and its members. Responsibilities • Review and evaluate existing clinical policies., • Propose suggested improvements to existing clinical policies., • Research new clinical policies and market trends., • Create detailed reports on clinical policy effectiveness., • Analyze market trends to inform policy development., • Improve existing department processes to enhance efficiency. Requirements • Proficiency in clinical policy through literature searching and clinical research analysis., • Working knowledge of clinical policies and the managed care industry., • High organizational and time-management skills., • Ability to work independently and manage multiple tasks effectively., • Excellent written and verbal communication skills., • Strong analytical and problem-solving skills., • Ability to work in a cross-functional, professional environment., • Exceptional team player with a desire to learn and grow. Nice-to-haves Benefits Apply tot his job Apply tot his job
Apply Now →

Similar Jobs

Project Manager, Design & Innovation II

Remote Full-time

Remote Home Health Quality Assurance Specialist (RN/LVN/LPN)

Remote Full-time

Disability Clinical RN Quality Assurance Specialist, Remote Anywhere

Remote Full-time

Medical Policy Analyst (Remote Eligible), SD IA License

Remote Full-time

Manager, Healthcare Quality Project Management

Remote Full-time

Project Manager - Healthcare - Remote - Remote

Remote Full-time

Technical Healthcare Project Manager

Remote Full-time

Heluna Health – Quality Assurance Specialist (Remote/Hybrid) – Richmond, CA

Remote Full-time

RN - Quality Assurance

Remote Full-time

System Manager, Real Estate Quality Control and Quality Assurance

Remote Full-time

Experienced Remote Contact Center Agent – Patient Care Representative for Leading Dental Implant Technology Company

Remote Full-time

Remote Customer Service Representative - Pet Lovers Unite at blithequark - Work from Home Opportunity

Remote Full-time

[Remote] Integration Engineer, Client Experience

Remote Full-time

RBT (Home-Based ABA, Experience Required)

Remote Full-time

Entry Level Remote Data Entry Specialist – Launch Your Career in Retail and Data Management with blithequark

Remote Full-time

AI & Automation Technical Lead, AgentOps

Remote Full-time

Experienced Data Analyst for End-to-End Delivery – Spearheading Data-Driven Insights and Strategic Decision Making at arenaflex

Remote Full-time

Delta Airlines Job Openings $30/Hour

Remote Full-time

**Experienced Customer Support Specialist – Building a World-Class Customer Service Culture at arenaflex**

Remote Full-time

Property Accountant in Los Angeles, CA – (job id: 1682146867)

Remote Full-time
← Back to Home