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Medical Policy Analyst Jobs (NOW HIRING)

Cotiviti

Medical Policy Director

Analyze client data and identify new medical policy opportunities for presentation including valuation and validation of editing. * Examine and select specific claim examples to utilize in a ...

Cotiviti

Medical Policy Director

Analyze client data and identify new medical policy opportunities for presentation including valuation and validation of editing. * Examine and select specific claim examples to utilize in a ...

Tulk LLC

Policy Analyst Mid

Saint Louis, MO · On-site

$124K - $148K/yr

Policy Analyst Mid TULK is a boutique strategic technology and management consulting firm ... TULK offers a tailored benefits package that may include medical, dental, and vision insurance ...

Tulk LLC

Policy Analyst Mid

Fort Belvoir, VA · On-site

$124K - $148K/yr

Policy Analyst Mid TULK is a boutique strategic technology and management consulting firm ... TULK offers a tailored benefits package that may include medical, dental, and vision insurance ...

Cotiviti, Inc.

Medical policy Director

Salt Lake City, UT · Remote

$120K - $145K/yr

Analyze client data and identify new medical policy opportunities for presentation including valuation and validation of editing. * Examine and select specific claim examples to utilize in a ...

GRVTY

Policy Analyst - Mid

Saint Louis, MO · On-site

We are seeking a Mid-Level Policy Analyst to support strategic planning, policy operations ... health plan including medical, dental, and vision • Health Savings Account with company ...

GRVTY

Policy Analyst - Mid

Springfield, VA

We are seeking a Mid-Level Policy Analyst to support strategic planning, policy operations ... health plan including medical, dental, and vision • Health Savings Account with company ...

GRVTY

Policy Analyst - Mid

Springfield, VA · On-site

We are seeking a Mid-Level Policy Analyst to support strategic planning, policy operations ... health plan including medical, dental, and vision • Health Savings Account with company ...

GRVTY

Policy Analyst - Mid

Saint Louis, MO

We are seeking a Mid-Level Policy Analyst to support strategic planning, policy operations ... health plan including medical, dental, and vision • Health Savings Account with company ...

SpaceX

Satellite Policy Analyst

Washington, DC · On-site +1

$85K - $100K/yr

SATELLITE POLICY ANALYST SpaceX is leveraging its experience building rockets and spacecraft to ... You will also receive access to comprehensive medical, vision, and dental coverage, access to a ...

SpaceX

Satellite Policy Analyst

Washington, DC · On-site

$85K - $100K/yr

SATELLITE POLICY ANALYST SpaceX is leveraging its experience building rockets and spacecraft to ... You will also receive access to comprehensive medical, vision, and dental coverage, access to a ...

Tulk LLC

Policy Analyst 4

Fort Belvoir, VA · On-site

$100K - $150K/yr

Policy Analyst 4 TULK is a leading boutique consulting firm providing technology and management ... We offer tailored benefits, including medical, dental, and vision insurance, long and short-term ...

Titania Solutions Group

Be Seen First

UAS Policy Analyst

Washington, DC · On-site

$90K - $96K/yr

This position plays a critical role in supporting policy development, regulatory analysis, security ... medical conditions), sexual orientation, gender identity or expression, national origin, age ...

Dexis

Policy Analyst, DOW

Washington, DC

About the Position Dexis is recruiting Policy Analyst to support anticipated programming with the ... medical conditions, including lactation, or any other protected class under applicable law. As part ...

Tulk LLC

Policy Analyst 4

Fort Belvoir, VA · On-site

$110K - $150K/yr

Policy Analyst 4 TULK is a leading boutique consulting firm providing technology and management ... We offer tailored benefits, including medical, dental, and vision insurance, long and short-term ...

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All JobsMedical Policy Analyst Jobs

Medical Policy Analyst information

See salary details

$41.5K

$96.9K

$137K

How much do medical policy analyst jobs pay per year?

As of Jun 9, 2026, the average yearly pay for medical policy analyst in the United States is $96,920.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,000.00 and $116,500.00 per year, depending on experience, location, and employer.

What is the difference between Medical Policy Analyst vs Healthcare Data Analyst?

AspectMedical Policy AnalystHealthcare Data Analyst
Required CredentialsBachelor's degree in health policy, public health, or related field; certifications like CPC or CPHQBachelor's or master's in health informatics, statistics, or data science; certifications like CAP or CPC
Work EnvironmentPolicy departments, insurance companies, healthcare organizationsHospitals, clinics, healthcare IT firms, insurance companies
Employer & Industry UsageUsed in healthcare policy development, insurance plan analysisUsed in data analysis, reporting, and healthcare performance metrics
Common Search & Comparison IntentUnderstanding policy roles, regulatory complianceAnalyzing healthcare data, improving patient outcomes

The main difference is that Medical Policy Analysts focus on developing and evaluating healthcare policies, while Healthcare Data Analysts analyze healthcare data to improve operations and patient care. Both roles require strong analytical skills and healthcare knowledge but serve different functions within the industry.

What are some common challenges faced by Medical Policy Analysts when interpreting complex healthcare regulations?

Medical Policy Analysts often encounter the challenge of interpreting evolving healthcare regulations and policies that can be highly technical and nuanced. Keeping up-to-date with frequent regulatory changes and ensuring policy recommendations remain compliant requires strong analytical and research skills. Additionally, balancing the interests of healthcare providers, payers, and patients while maintaining ethical standards can be demanding. Collaboration with legal experts, clinicians, and data analysts is essential to navigate these complexities and deliver sound policy guidance.

What are the key skills and qualifications needed to thrive as a Medical Policy Analyst, and why are they important?

To thrive as a Medical Policy Analyst, you need strong analytical skills, a background in public health or health policy, and familiarity with healthcare regulations, often supported by a relevant bachelor’s or master’s degree. Proficiency with data analysis tools, policy research databases, and regulatory compliance systems is typically required. Exceptional written communication, critical thinking, and stakeholder collaboration skills help you stand out in this position. These capabilities are crucial for developing effective healthcare policies, ensuring regulatory compliance, and supporting informed decision-making within healthcare organizations.

What are Medical Policy Analysts?

Medical Policy Analysts are professionals who research, evaluate, and develop policies related to healthcare systems, regulations, and public health programs. They analyze healthcare data, interpret laws and regulations, and provide recommendations to improve healthcare delivery and policy compliance. Their work helps shape decisions at various levels, from hospitals and insurance companies to government agencies, ensuring that policies promote effective, equitable, and efficient healthcare. Medical Policy Analysts often collaborate with stakeholders, prepare policy briefs, and monitor the impact of implemented policies.
More about Medical Policy Analyst jobs
What cities are hiring for Medical Policy Analyst jobs? Cities with the most Medical Policy Analyst job openings:
What states have the most Medical Policy Analyst jobs? States with the most job openings for Medical Policy Analyst jobs include:
What job categories do people searching Medical Policy Analyst jobs look for? The top searched job categories for Medical Policy Analyst jobs are:
Medical Policy Analyst jobs near you
Infographic showing various Medical Policy Analyst job openings in the United States as of June 2026, with employment types broken down into 7% As Needed, 16% Full Time, 75% Part Time, 1% Contract, and 1% Nights. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution, with an average salary of $96,920 per year, or $46.6 per hour.
Medical Policy Director

Medical Policy Director

Cotiviti

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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

37th of 203 rated it services

Job description

Overview
The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the Client Engagement Leader, Client Medical Director (CMD), the MPD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The MPDs role is to serve as a coding and medical payment policy subject matter expert (SME), with the assistance of a CMD. The MPD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The MPD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back-end support for Cotiviti's and the client's Medical Directors. The MPD will evolve as the trusted advisor for the Health Plan in terms of medical payment policy.
Responsibilities
  • Act as a knowledgebase expert regarding the Cotiviti Medical Policy library.
  • Gain an understanding of each client's unique lines of business, medical policy standards and system configuration strategy to inform optimization opportunities.
  • Analyze client data and identify new medical policy opportunities for presentation including valuation and validation of editing.
  • Examine and select specific claim examples to utilize in a presentation to the client to support the understanding of the new medical policy.
  • Prepare various documents and presentation materials for use during internal payment policy committee meetings and/or client meetings.
  • Review all documents and coordinate reviews with the CMD to evaluate and validate the editing and financial impact.
  • Confidently perform client policy presentations to highlight the facts of each rule, the data that supports the policy recommendation, the impact to claims processing, and the associated value.
  • Successfully advocate for the adoption of new medical policies by clients to optimize the value Cotiviti offers.
  • Participate in client meetings as required as a medical policy subject matter expert.
  • Coordinate with the internal client team to ensure that all requested follow-up items are delivered to the client.
  • Inspire trust and credibility with clients.
  • Communicate effectively across various organizational levels and members of the internal and external client teams.
  • Assist in identifying opportunities for other Cotiviti product solutions.
  • Complete all responsibilities as outlined in the annual performance review and/or goal setting.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

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
  • Bachelor's Degree in a relevant field or equivalent.
  • Professional coder certification required (CPC, CPC-A, CCA, CCS, or CCS-P), RHIT or RHIA certification a plus.
  • Minimum of 7-10 years of work experience, preferably in sales, customer service or client management.
  • Minimum of 5 years of experience in claim payment adjudication, medical payment/policy editing applying Medicare, Medicaid, ICD, CPT, HCPCS and other specialty society guidelines preferred.
  • Health plan, managed care or health insurance experience preferred.
  • Exceptional presentation, interpersonal, verbal and written communication skills.
  • Superior organizational skills with the ability to work in a fast-faced environment, prioritize, and manage multiple competing deadlines with minimal direction.
  • Strong problem-solving skills and an ability to think strategically.
  • Ability to analyze complex data and synthesize it for general consumption.
  • Demonstrated strategy and analytical thinking skills, with the ability to effectively communicate conclusions and recommendations to diverse audiences.
  • Excellent computer skills in Microsoft Word, Excel, PowerPoint, and Outlook are a must.
  • Willingness/availability to travel 10-20% is required.

Mental Requirements:
  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.
  • Ability to work with a high volume of transactions in a timely manner and meet deadlines.
  • Must be able to perform daily functions with little or no direct supervision.

Working Conditions and Physical Requirements:
  • This remote role can be located anywhere in the continental US.
  • 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 perform duties with or without reasonable accommodation.
  • 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 $120,000 to $145,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
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: 5/26/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/26/2026, 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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