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Clinical Policy Specialist

6/21/2025

Remote

Job Summary

A company is looking for a Health Services Professional.

Key Responsibilities
  • Respond to inquiries from medical directors and clinical staff regarding clinical policy issues
  • Draft and revise clinical policies, presenting updates to the Clinical Policy Council
  • Conduct evidence reviews and provide rapid responses to clinical questions regarding medical necessity


Required Qualifications
  • Minimum three years' experience with clinical policy creation
  • Minimum one year experience with medical writing
  • Minimum one year experience using PubMed for accessing medical literature
  • Knowledge of evidence-based medicine and health technology assessments
  • Understanding of clinical study design and statistical methods

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