Clinical Policy Jobs

Oscar Health is hiring a Manager, Policy Optimization to lead data-driven clinical policy improvements that improve affordability and operational efficiency across medical and pharmacy policy portfolios.

Oscar Health is hiring a clinically licensed Manager of Clinical Policy to evaluate vendor medical policies, ensure compliance and quality, and support affordability initiatives across the organization.

Experienced UM Pharmacist needed to lead policy translation and clinical validation for an AI-driven prior authorization platform at Innovaccer.

Inclusive & Diverse

Mission Driven

Feedback Forward

Fast-Paced

Medical Insurance

Dental Insurance

Vision Insurance

Life insurance

Disability Insurance

Mental Health Resources

Health Savings Account (HSA)

Flexible Spending Account (FSA)

401K Matching

Equity

Maternity Leave

Paternity Leave

Some Meals Provided

Snacks

Social Gatherings

Join Lyra Health’s legal team as a Regulatory Specialist to manage audits, strengthen healthcare compliance processes, and support scalable delivery of mental health services across the US.

Oscar Health is hiring a Manager of Clinical Pharmacy Programs to lead formulary strategy and clinical pharmacy operations that reduce drug spend and enhance member outcomes.

Experienced RN leaders are needed to serve as Assistant Chief Nursing Officer at PAM Health's Tulsa LTACH, overseeing nursing operations, staffing, and quality of care.

Support and coordinate clinical research compliance and access programs at Northwestern Memorial, ensuring IRB and institutional requirements are met while providing training and operational oversight.

Northwestern Medicine is hiring a Research Program Coordinator to oversee IRB pre-reviews, research compliance, and the NMH Access Program at its Chicago campus.

DaVita is hiring a Director of Person-Centered Care Strategy and Innovation to lead cross-functional efforts that advance equitable, culturally informed care and drive pilot-to-scale program implementation.

Northwestern Medicine seeks an experienced Research Program Coordinator to oversee IRB pre-reviews, the NMH Access Program, and research compliance activities at the Chicago campus.

Fort Sanders Regional Medical Center is hiring an RN Education Coordinator to lead staff orientation, clinical teaching and in-service programs for the Orthopedic Med-Surg unit.

Experienced physician leader needed to direct Utilization Management strategy and physician teams at Wellmark, driving evidence-based decisions and initiatives to reduce overuse and improve member outcomes.

Innovaccer seeks an experienced oncology RN to lead utilization management reviews and refine AI-driven prior authorization workflows for improved accuracy and payer alignment.

The University of Maryland Medical Center is seeking a Nurse Ethicist to lead ethics consultation, resilience programming, ethics education, and policy development across the hospital and School of Nursing.