Medical Policy Writer

February 28

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Logo of CareSource

CareSource

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

Medicaid • MyCare Ohio • Health Insurance Marketplace • Medicare Advantage • Health Insurance

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• Research and develop moderate to complex Medical/Clinical, BH, and Reimbursement policies • Ensure adherence to company, state, and federal guidelines • Support the operational processes of the Policy Governance Committee • Monitor status reports to ensure effective workflow and timely development of medical and pharmacy policies • Collaborate with interdisciplinary team members to achieve team goals

🎯 Requirements

• 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

🏖️ Benefits

• Substantial and comprehensive total rewards package

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