Medical Policy Jobs

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

Experienced compliance leader sought to provide strategic, practical business ethics counsel and lead ethics-driven risk mitigation for Ipsen’s U.S. Neuroscience and Medical Affairs teams.

Experienced SME in Health Plan Operations needed to lead value-based care pilot design, program evaluation, and stakeholder communications within a VA-related environment.

Markel is hiring a Senior/Executive Claims Examiner in Plano, TX to lead technical resolution of high-exposure medical malpractice and healthcare claims, particularly in excess and reinsurance placements.

Work as a clinically focused RN on Humata Health’s payer operations team to digitize policies and validate AI-driven prior authorization workflows.

Senior leadership role managing San Francisco’s EMS system operations, policy, quality improvement, budget and multi-agency coordination to improve pre-hospital and hospital emergency care.