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Highmark Health

Remote Medical Policy Director — Clinical Strategy

Highmark Health, WorkFromHome

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A leading healthcare provider is seeking a Medical Policy Director to oversee the full-cycle ownership of commercial and Medicare Advantage policies. The role requires 5+ years of active medical practice and 3+ years in medical policy, emphasizing involvement in clinical criteria development, policy maintenance, and cross-department collaboration. Applicants should have a Doctor of Medicine or Osteopathic Medicine degree, with expertise in medical coding preferred. The position is office-based or remote, with a salary range of $170,000-$352,500.
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