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Medical Policy Writer Jobs (NOW HIRING)

ARC Group

Medical Research Consultant

Jacksonville, FL · Remote

MEDICAL RESEARCH CONSULTANT REMOTE ARC Group has an immediate opportunity for a Medical Research ... Policy Writing -- 20% o Development of summary and analysis of evidence for inclusion in LCDs to ...

Akron Children's Hospital

Payer Policy Coordinator

Akron, OH · On-site

$18.50 - $24.75/hr

The Payer Policy Coordinator is responsible for the end-to-end coordination of payer medical policy ... written and verbal communication skills, including the ability to prepare professional ...

Cotiviti

Medical Director

$225K - $275K/yr

The CMDs role is to serve as a coding and medical payment policy subject matter expert (SME). The ... Excellent verbal and written communication skills. * Proficient with Microsoft Office Suite (Word ...

Cotiviti

Medical Director

$225K - $275K/yr

The CMDs role is to serve as a coding and medical payment policy subject matter expert (SME). The ... Excellent verbal and written communication skills. * Proficient with Microsoft Office Suite (Word ...

Cynet Systems

Clinical Medical Review Nurse

Baltimore, MD · On-site

$36.49 - $41.49/hr

... policy application. Proficiency in Microsoft Office (Excel, Word, PowerPoint) and web-based systems. Experience working with Electronic Medical Records (EMR) systems. Excellent verbal and written ...

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Medical Policy Writer information

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How much do medical policy writer jobs pay per hour?

As of Aug 14, 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 as a medical policy writer?

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?

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.

Do medical policy writers make good money?

Medical policy writers typically earn a competitive salary that varies based on experience, education, and location. They often require strong research, writing, and understanding of healthcare regulations, with salaries generally ranging from entry-level to senior positions in the healthcare and insurance industries.

Is there a demand for medical policy writers?

Medical policy writers are in demand due to the growing need for clear, compliant healthcare policies in insurance companies, healthcare organizations, and government agencies. Strong writing skills, knowledge of healthcare regulations, and familiarity with policy management tools enhance job prospects in this field.

What does a medical policy writer do?

A medical policy writer develops and drafts policies related to healthcare coverage, medical procedures, and treatment guidelines for insurance companies, healthcare organizations, or government agencies. They analyze medical data, stay current on industry regulations, and use writing and research skills to create clear, accurate policies that support decision-making and compliance.

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 August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $80,364 per year, or $38.6 per hour.

Senior Manager, Medical and Clinical Claim Policy and Integration

Brighton Health Plan Solutions, LLC

Chapel Hill, NC • On-site

Full-time

Medical, Vision

Posted 14 days ago

Job description

About The Role
The Senior Manager of Medical and Clinical Claim Policy and Configuration is a senior level decision maker responsible for the content and management of Medical and Claim Policies. Also provides direction and support for system configurations as well as necessary operational assistance to ensure effective policy implementations. This individual will gain broad exposure and work closely with all business units including Medical Management, Network Management, Claims, Operations, IT, Sales and Account Management, and Legal.
*This is a remote role.
Primary Responsibilities
  • Review, update, evaluate and develop medical and clinical claims policies for Commercial medical insurance segment to promote quality, optimize utilization and cost to make them effective for the business.
  • Take responsibility and work closely with Healthcare Economics, Medical Management, Network Management, Claims, Operations, IT, Sales & Account Management, and Legal to implement policies designed to support the effective management of medical expenses and promote quality care.
  • Collaborate with IT and other departments on business and technical requirements involving policies.
  • Develop and maintain Prior Authorization list for Commercial business.
  • Manage Medical and Clinical Claim policy web content and publication.
  • Serve as the subject matter expert for Claims Editing Solution (CES) and lead initiatives involving medical and claim policy including but not limited to CES rules and configuration.
  • Prepares analyses and recommendations for medical policy updates and new code implementation for Medical Director review. Responsibilities include researching applicable CPT/HCPCS/ICD codes, benchmarking industry and payer practices, evaluating benefit and operational impacts, and providing recommendations for code handling, coverage determinations, and benefit integration.
  • Leads the digitization and maintenance of medical policies, including converting policies into electronic formats, configuring policy content within designated systems, ensuring version control and accuracy, and supporting ongoing updates to align with regulatory requirements, business needs, and operational workflows.
  • Maintains and updates JIVA automation code sets, rules, and configurations to support accurate claims processing, utilization management workflows, benefit administration, and medical policy implementation.
  • Work closely with Benefits team in configuration of new clients and working with High Dollar team for coding, PA and benefit questions
Essential Qualifications
  • Expert understanding of Medical Claims operations including medical insurance benefits, medical policy, claims policy, quality assurance, utilization review, and medical cost management.
  • Solid understanding of claim processing including pricing and code editing.
  • Strong organizational and planning skills to manage multiple priorities and meet required deadlines.
  • Good communicator, organized, and able to write clearly
  • Enjoys the challenges associated with decision support algorithms and the attention to detail it requires.
  • This job requires the ability to embed logic in narrative prose and be comfortable with numbers.
  • 5 years' experience in health care administration, managed care, or medical insurance field required
  • 2+ years' experience creating, writing, or managing clinical, claims, or healthcare technical policies and procedures is preferred.
  • Experience working with medical and claims policy reference sources such as CPT/HCPCS/ICD/DRG coding manuals, Specialty Society Guidelines, National Guidelines Clearinghouse materials, CMS and CMS Intermediary policies, and Commercial Health plans policies, among others.
  • Bachelors with an advanced or specialized degree in healthcare, public health, epidemiology, or health policy preferred (Public Health, Pharmacy, Allied Health Professional, Nursing etc.), certified medical coder preferred.
  • Familiarity working with state and federal mandates, and FDA and other regulatory requirements for medical devices, drugs and biologics.
  • Comfortable with Microsoft Word and Excel.

About
At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all of your unique abilities.
Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions.
Come be a part of the Brightest Ideas in Healthcare™.
Company Mission
Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners.
Company Vision
Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]

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