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Health Policy Nurse Jobs (NOW HIRING)

Cotiviti

Client Policy Manager I

$110K - $119K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Overview The Client Policy Manager I manages client payment policies by ensuring client's payment ... Active professional license as a Registered Nurse (BSN preferred) or Bachelor's Degree in Health ...

State of Maine

Policy and Compliance Manager

Augusta, ME · On-site

$62K - $88K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Department of Health and Human Services (DHHS) Social Services Manager I Opening Date: August 7, ... This includes oversight of the Certified Nursing Assistant and Direct Care Worker Registry ...

Cotiviti, Inc.

Client Policy Manager I - US Remote

Atlanta, GA · Remote

$75K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Prepare payment policy documents for presentation to the client. Review all documents and ... Active professional license as a Registered Nurse (BSN preferred) or bachelor's degree in health ...

Bestica Healthcare

RN Short Stay

Los Angeles, CA · On-site

Bachelor's Degree in Nursing (BSN) - Preferred * Acute care facility experience - Preferred ... Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy ...

Bestica

Travel Nurse RN - Short Stay

Los Angeles, CA · On-site

Basic Life Support (BLS) certification from an approved vendor per Adventist Health policy ... in Nursing (BSN) - Preferred Acute care facility experience - Preferred Previous hospital/acute ...

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Health Policy Nurse information

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$79.5K

$117.5K

$190K

How much do health policy nurse jobs pay per year?

As of Aug 15, 2026, the average yearly pay for health policy nurse in the United States is $117,469.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,000.00 and $150,000.00 per year, depending on experience, location, and employer.

How does a health policy nurse collaborate with other healthcare professionals and policymakers to influence healthcare decisions?

Health Policy Nurses often work closely with interdisciplinary teams, including physicians, administrators, public health officials, and legislators. They gather data, analyze health trends, and present evidence-based recommendations to help shape policies that impact patient care and community health. Effective communication and advocacy skills are essential, as Health Policy Nurses frequently participate in meetings, advisory panels, and public forums to represent nursing perspectives. This collaborative work environment allows them to bridge the gap between clinical practice and healthcare legislation, ensuring policies are practical and patient-centered.

What are the key skills and qualifications needed to thrive as a health policy nurse, and why are they important?

To thrive as a Health Policy Nurse, you need a background in nursing (BSN or MSN) combined with knowledge of public health, policy development, and healthcare systems. Familiarity with data analysis tools, legislative processes, and policy research is highly valued, and certifications such as ANCC’s Advanced Public Health Nursing can be advantageous. Strong communication, leadership, and advocacy skills set standout professionals apart in this role. These competencies are crucial for effectively influencing health policies, driving systemic improvements, and representing nursing perspectives in policy discussions.

What is a health policy nurse?

As a health policy nurse, it is your job to examine health issues and public policies with the goal of improving patient welfare. Your duties include researching health care laws, examining medical regulations, and developing strategies to improve the quality of care patients receive. You need at least a Master of Science in Nursing (MSN), although many health policy nurses go on to earn their Doctorate of Philosophy in Nursing (PhD). Additional career qualifications include work experience as a registered nurse (RN), strong analytical and research skills, and intimate knowledge of health care systems. Positions are most often available at health service research firms.

What is the difference between Health Policy Nurse vs Public Health Nurse?

AspectHealth Policy NursePublic Health Nurse
CredentialsRN license, health policy knowledgeRN license, public health training
Work EnvironmentGovernment agencies, policy organizationsCommunity clinics, public health departments
Employer & IndustryHealthcare policy, government, advocacy groups

Health Policy Nurses focus on shaping healthcare policies and working within government or advocacy organizations, while Public Health Nurses provide direct community health services and education. Both roles require RN licensure, but differ in daily tasks and work settings.

How to get into health policy as a nurse?

To become a health policy nurse, gaining experience in clinical nursing and pursuing additional education such as a master's degree in health policy, public health, or healthcare administration can be beneficial. Developing skills in policy analysis, advocacy, and understanding healthcare systems is essential, and certifications like the Certified in Healthcare Policy and Advocacy (CHPA) can enhance qualifications.
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Cities with the most Health Policy Nurse job openings:

What are the most commonly searched types of Health Policy Nurse jobs?

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What states have the most Health Policy Nurse jobs?

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What are popular job titles related to Health Policy Nurse jobs?

For Health Policy Nurse jobs, the most frequently searched job titles are:

Health Policy Nurse jobs near you
Infographic showing various Health Policy Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $117,469 per year, or $56.5 per hour.

Client Policy Manager I

Cotiviti

Remote

$110K - $119K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Cotiviti rating

8.3

Company rating: 8.3 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

51st of 224 rated it services

Job description

Overview
The Client Policy Manager I manages client payment policies by ensuring client's payment policy is accurate, up-to-date, and complete; executes client-specific requests with guidance from internal team and acts as the internal and external client team liaison.
Responsibilities
This position is client facing and requires a commitment to superior client service.
  • Primarily responsible for the integrity of the client's medical policy set, including awareness of all client-related Medical Policy project requests, monthly review of Max Units, review of Health Plan rules, etc.
  • Primary driver of the Periodic Update analysis and industry updates. Review and identify changes needed to client policies in order to maintain up-to-date and accurate medical payment policies.
  • Prepare payment policy documents for presentation to the client. Review all documents and coordinate reviews with Medical Directors and participate in client policy meetings.
  • Conduct research and analysis for medical policy items with guidance from Cotiviti Client Medical Director and Content.
  • Review client payment policies for accuracy, complete reviews on a timely basis, clearly understand and articulate medical policies, present the policies for consideration to Cotiviti Client Medical Director for review and acceptance by the client, provide direction on client understanding of medical policies.
  • Add value to medical policy content, department, and client teams by participating and offering benefit of knowledge and experience proactively.
  • Clearly understand, document and maintain client medical policy sensitivities and nuances in the Client Profile Workbook.
  • Communicate effectively with various members of the client team (internal as well as external).
  • Perform multi-faceted data and report analytics.
  • Apply project management principles in initiating, creating, and managing projects.
  • Review and analyze client inquiries for clarity of intent, apply decisions for affected policies, maintain information, and communicate effectively with the client.
  • Completes all responsibilities as outlined on annual Performance Plan.
  • Completes all special projects and other duties as assigned.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.
Qualifications
  • Active professional license as a Registered Nurse (BSN preferred) or Bachelor's Degree in Healthcare related field or relative experience.
  • Professional coder certification (CPC, CPC-H, CPC-P or CCS-P).
  • Minimum of 3 years clinical coding experience, preferable in a payer setting.
  • Strong knowledge of healthcare claims payment policy and processing, specifically, CMS, Medicaid, ICD, CPT, HCPCS and other specialty society, etc.
  • Experience in claims adjudication or utilization review working for a managed care or healthcare insurance company.
  • Familiarity with claims payment and reimbursement methodologies.
  • Experience in customer service or client management with a strong focus on healthcare setting.
  • Clearly understands and articulates medical policies.
  • Strong Knowledge of CMS guidelines. Health plans, Managed Care or Health Care insurance company experience.
  • Prior experience in developing medical payment policy edits.
  • Proficiency in Microsoft Office suite.
  • Demonstrated problem-solving skills.
  • Professional with ability to properly handle confidential information.
  • Ability to work well both independently and collaboratively, in a fast-paced and demanding environment.
  • Ability to analyze data and synthesize it for customer and internal consumption.
  • Effective verbal and written communication, and interpersonal skills.
  • Effective at managing timelines and multiple projects with the ability to prioritize and meet deadlines.

Cognitive/Mental Requirements:
  • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
  • Must be able to perform duties with or without reasonable accommodation.
  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:
  • This remote role can be located anywhere in the continental US.
  • Travel requirement up to 20%.
  • Must be able to lift up to 20 lbs without assistance.
  • After-hours and/or weekend work may be required where necessary for major deliverables /deadlines.
  • Must be able to sit and use a computer keyboard for extended periods.
  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and/or fingers.
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
  • No adverse environmental conditions are expected.

Base compensation ranges from $75,000 to $105,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 8/11/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/11/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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