Lead Clinical and Population Health Analyst - Medical Policy
Employer Industry: Healthcare Services Why consider this job opportunity: - Salary up to $147,500 - Opportunity for career advancement and growth within the organization - Engage in meaningful work that drives improvements in healthcare outcomes and member experiences - Collaborative work environment with cross-functional teams - Contribute to the development of evidence-based medical policies that impact patient care - Mentorship opportunities for professional development and skill enhancement What to Expect (Job Responsibilities): - Lead the development, revision, and maintenance of a portfolio of commercial medical policies - Research and synthesize clinical literature to create evidence-based medical necessity criteria - Utilize data-driven insights to inform policy development and identify areas for improvement - Serve as a clinical expert on workgroups, providing insights and recommendations based on analysis - Conduct complex data analysis to assess the impact of policy decisions on healthcare outcomes What is Required (Qualifications): - Master's Degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy, or related field - 7 years of experience in leading clinical and population health reporting and analyses - 7 years of experience with coding languages and analytical software using healthcare data - 5 years of project leadership experience in a complex, matrixed environment - 5 years of experience providing analytical consultation to various stakeholders How to Stand Out (Preferred Qualifications): - Doctorate in Medicine, Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy, or related field - Experience with medical policy and utilization management functions - Medical coding certificate (AAPC) #HealthcareServices #MedicalPolicy #DataAnalysis #CareerGrowth #HealthcareOutcomes We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer. Apply tot his job