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 - Collaborative work environment with the ability to influence medical policy decisions - Engage in meaningful work that aligns with the Quadruple Aim of Healthcare - Chance to mentor and train new staff members - Work primarily in an office-based setting with minimal travel What to Expect (Job Responsibilities): - Lead the development, revision, and maintenance of commercial medical policies - Conduct research and synthesize clinical literature to create evidence-based medical necessity criteria - Utilize data analytics to inform policy development and assess the impact of changes - Serve as a clinical lead and expert, providing insights to various workgroups and stakeholders - Manage the publication process for assigned policies and conduct peer reviews for quality assurance 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 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 certification (e.g., AAPC) #HealthcareServices #MedicalPolicy #DataAnalytics #CareerOpportunity #Mentorship "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