Medical Policy Writer

2 months ago

Greater Boston Area, United States Cohere Health Full time

Company Overview:

Cohere Health is a fast-growing clinical intelligence company that's improving lives at scale by promoting the best patient-specific care options, using leading edge AI combined with deep clinical expertise. In only four years our solutions have been adopted by health insurance plans covering over 15 million people, while our revenues and company size have quadrupled. That growth combined with capital raises totaling $106M positions us extremely well for continued success. Our awards include: 2023 and 2024 BuiltIn Best Place to Work, Top 5 LinkedInTM Startup, TripleTree iAward, multiple KLAS Research Points of Light, along with recognition on Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists.

Opportunity Overview:

This is a fantastic opportunity for an outstanding individual to join a rapidly growing digital health company as a Medical Policy Writer. You will work closely with scientific literature researchers, clinical leadership, subject matter experts, and stakeholders to ensure the smooth flow of information, facilitate policy development, and maintain up-to-date medical guidelines. Your role will be crucial in drafting, refining, and finalizing medical policies based on comprehensive scientific evidence.

People who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

Last but not least: People who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone.

What you will do:

Policy Development Facilitation:

  • Draft, refine, and finalize medical policy documents.
  • Collaborate with scientific literature researchers to incorporate comprehensive scientific evidence into policy drafts.
  • Facilitate working sessions to refine and clarify policy drafts.
  • Provide feedback and guidance to ensure alignment with organizational goals and standards.

Medical Policy Updates and Maintenance:

  • Ensure medical policy definitions are current and accurately reflect the latest medical guidelines.
  • Regularly review and update medical policies to incorporate the latest scientific evidence and clinical best practices.
  • Handle internal requests, scheduled reviews, and updates.
  • Ensure policies are compliant with CMS policies such as NCDs and LCDs.

Stakeholder Engagement and Communication:

  • Foster strong relationships with key internal stakeholders, including policy writers, medical directors, and clinical leadership.
  • Communicate policy changes and updates effectively to all relevant internal parties.

Quality Assurance and Review:

  • Conduct quality checks on policy documents before final approval and publication.
  • Ensure consistency and accuracy in all policy documents.
  • Implement a robust review process involving internal and external experts to validate policy content.

Training and Development:

  • Develop and deliver training sessions for policy writers on best practices and organizational standards.
  • Provide ongoing support and mentorship to policy writers to enhance their skills and knowledge.

Documentation and Process Management:

  • Maintain comprehensive documentation of policy development processes and procedures.
  • Develop and manage a repository for policy documents and related resources.
  • Ensure all documentation is up-to-date and accessible to relevant stakeholders.
  • Post approved policies in Confluence.

Performance Monitoring and Reporting:

  • Track and report on the progress of policy development projects.
  • Provide regular updates to senior management on policy status, challenges, and achievements.
  • Utilize data and metrics to assess the effectiveness of policies and identify areas for improvement.

Your background & requirements:

Required Experience:

  • Preferred: Bachelors in nursing or advanced degree such as a Master of Science in Nursing, Master of Physician Assistant Studies, or Master's degree in Public Health, Health Science, Healthcare Administration, etc.
  • 3-5 years of experience in medical writing, policy development, or scientific literature research and vetting.
  • Familiarity with CMS policies such as NCDs and LCDs.
  • Strong organizational and project management skills.
  • Excellent communication skills, both written and verbal.
  • Ability to manage multiple projects with competing priorities.
  • Detail-oriented and enjoy managing simultaneous projects with multiple stakeholders.
  • Ability to work well both as part of a team and independently.
  • Ability to work independently in a remote work environment with minimal supervision.
  • Proficient in using collaboration tools such as Confluence and project management software.

We can't wait to learn more about you and meet you at Cohere Health

Equal Opportunity Statement:

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it's personal.

The salary range for this position is $80,000 to $100,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.

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