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Remote Medical Policy Director — Clinical Strategy

Remote / Online - Candidates ideally in
Springfield, Sangamon County, Illinois, 62777, USA
Listing for: Highmark Health
Remote/Work from Home position
Listed on 2026-01-23
Job specializations:
  • Doctor/Physician
    Healthcare Consultant
Job Description & How to Apply Below
A leading healthcare company is seeking a Medical Policy Expert to support the Medical Policy team in Springfield, Illinois. This role involves full-cycle ownership of medical policies, writing clinical criteria, and engaging with vendors and team members. Candidates must possess 5 years of active medical practice, 3 years in medical policy, and a Doctor of Medicine or Doctor of Osteopathic Medicine degree.

The position supports innovative healthcare changes while ensuring compliance with regulatory requirements and offers a competitive salary range from $ to $.
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