Work from Office
Full Time
Role & responsibilities 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 Masters 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. Utilization review experience is a plus Preferred candidate profile - Life science graduate experienced for minimum of 3 yrs on NCD, CMS, LCD are mostly preferred.
Zignaai
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