Georgia Licensed Medical Policy Manager

Job Summary

A company is looking for a Manager, Medical Policy.

Key Responsibilities

• Lead the review of clinical literature and guidelines to develop coverage criteria for medical services and technologies
• Conduct health technology assessments and manage clinical reviews for medical policies
• Oversee the drafting and maintenance of the medical policy library, ensuring compliance and clarity

Required Qualifications

• Graduate degree in Healthcare Administration, Public Health, Health Policy, or a related discipline
• 5-8 years in healthcare, with 3-5 years focused on medical policy development or clinical research
• Experience in people leadership and managing clinical professionals
• Proficiency in clinical databases for literature reviews and evidence evaluation
• Expertise in interpreting clinical data and conducting health technology assessments