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Remote Medical Policy Director — Clinical Strategy

Highmark Health, Springfield

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A leading healthcare company is seeking a Medical Policy Expert to support the Medical Policy team in Springfield, Illinois. This role involves full-cycle ownership of medical policies, writing clinical criteria, and engaging with vendors and team members. Candidates must possess 5 years of active medical practice, 3 years in medical policy, and a Doctor of Medicine or Doctor of Osteopathic Medicine degree. The position supports innovative healthcare changes while ensuring compliance with regulatory requirements and offers a competitive salary range from $170,000.00 to $352,500.00.
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