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Medical Policy Writer Jobs (NOW HIRING)

Cotiviti

Medical Policy Director

Overview The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the ... Exceptional presentation, interpersonal, verbal and written communication skills. * Superior ...

Cotiviti

Medical Policy Director

Overview The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the ... Exceptional presentation, interpersonal, verbal and written communication skills. * Superior ...

Cotiviti, Inc.

Medical policy Director

Salt Lake City, UT · Remote

$120K - $145K/yr

The Medical Policy Director (MPD) is a key member of the Go to Market team. Along with the Client ... Exceptional presentation, interpersonal, verbal and written communication skills. * Superior ...

UnitedHealth Group

Epidemiologist - Remote

Minnetonka, MN · On-site +1

$91K - $163K/yr

Collaborate with a larger team of medical policy writers, physicians, policy publication, and implementation experts to drive policy quality * Support continuous refinement and evolution of the ...

Cotiviti

Client Policy Manager I

$107K - $116K/yr

Primarily responsible for the integrity of the client's medical policy set, including awareness of ... Effective verbal and written communication, and interpersonal skills. * Effective at managing ...

Cotiviti

Client Policy Manager I

$110K - $119K/yr

Primarily responsible for the integrity of the client's medical policy set, including awareness of ... Effective verbal and written communication, and interpersonal skills. * Effective at managing ...

MiMedx Group

Director, Health Policy

Marietta, GA · Remote

$195K - $235K/yr

Identify and monitor changes in medical policy, trends in the US Healthcare system, and regulations ... Excellent oral, written, and interpersonal communication skills * Ability to interact with all ...

MIMEDX

Director, Health Policy

Marietta, GA · On-site

$195K - $235K/yr

Identify and monitor changes in medical policy, trends in the US Healthcare system, and regulations ... Excellent oral, written, and interpersonal communication skills * Ability to interact with all ...

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How much do medical policy writer jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for medical policy writer in the United States is $38.64, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $48.80 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Medical Policy Writer position, and why are they important?

To excel as a Medical Policy Writer, you typically need a background in life sciences or healthcare, strong writing skills, and knowledge of clinical guidelines or regulatory standards. Familiarity with reference management software, content management systems, and industry-specific resources such as AMA Manual of Style or GRADE guidelines is often required. Exceptional attention to detail, research aptitude, and collaborative communication set candidates apart in this role. Mastery of these competencies ensures accurate, clear, and compliant policy documents that support organizational and regulatory objectives.

What is a Medical Policy Writer job?

A Medical Policy Writer is responsible for researching, writing, and updating medical policies for healthcare organizations, insurance companies, or government agencies. They analyze medical research, clinical guidelines, and regulatory requirements to develop clear and evidence-based policies. Their work ensures compliance with legal and industry standards while supporting fair and effective healthcare decision-making. Strong writing, analytical, and research skills are essential for this role.

What are some of the common challenges faced by Medical Policy Writers in their daily work?

Medical Policy Writers often navigate challenges such as interpreting complex clinical research, reconciling diverse stakeholder perspectives, and ensuring documents meet evolving regulatory requirements. Balancing consistency and clarity while incorporating frequent feedback from medical experts and legal teams can demand strong organizational and interpersonal skills. Additionally, staying current with guidelines and best practices requires ongoing professional development. Despite these challenges, the role can be highly rewarding, offering the opportunity to influence patient care delivery and healthcare policy while collaborating with multidisciplinary teams.

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Medical Policy Writer jobs near you
Infographic showing various Medical Policy Writer job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $80,364 per year, or $38.6 per hour.
Medical Policy Director

Medical Policy Director

Cotiviti

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Cotiviti rating

8.3

Company rating: 8.3 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

38th of 204 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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