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Remote Medical Policy Director

Highmark Health, WorkFromHome, PA, United States


A leading healthcare organization is seeking a Medical Director to manage the full lifecycle of commercial and Medicare Advantage medical policies. This role involves writing clinical criteria, providing guidance to clinical teams, and ensuring compliance with NCQA and CMS standards. Candidates should have a Doctor of Medicine or Osteopathic Medicine, 5 years of medical practice, and 3 years of medical policy experience. Competitive salary range from $170,000 to $363,100 with options for office-based or remote work.
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