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Medical Policy Jobs in Florida (NOW HIRING)

Provide subject matter expertise to the MARCENT Force Surgeon on medical policies issued by CENTCOM, Bureau of Medicine and Surgery (BUMED), and Defense Health Agency (DHA). Primary Duties and ...

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The role includes medical policy analysis, health protection integration, medical readiness support, and limited clinical care to maintain privileges and competency. This position requires a ...

The role includes medical policy analysis, health protection integration, medical readiness support, and limited clinical care to maintain privileges and competency. This position requires a ...

This role combines strategic policy advising with limited clinical duties to maintain privileges and readiness. Key Responsibilities * Involved with Medical Policy & Planning Support * Serve as a ...

Medical Planner

Tampa, FL

$175K - $195K/yr

Involved with Medical Policy & Planning Support * Serve as a subject‑matter expert to the MARCENT Force Surgeon on medical policies issued by CENTCOM , BUMED , and DHA ; interpret guidance and ...

This role combines strategic policy advising with limited clinical duties to maintain privileges and readiness. Key Responsibilities * Involved with Medical Policy & Planning Support * Serve as a ...

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Medical Policy information

What is a medical policy?

A medical policy is a set of guidelines developed by health insurance companies or healthcare organizations to determine the medical necessity, appropriateness, and coverage of healthcare services and treatments. These policies help ensure that patients receive evidence-based care and that coverage decisions are consistent and fair. Medical policies are typically based on clinical research, expert consensus, and regulatory standards. They are regularly reviewed and updated to reflect advances in medical knowledge and changing healthcare regulations.

What are the key skills and qualifications needed to thrive in medical policy, and why are they important?

To thrive in Medical Policy, you need a strong understanding of healthcare regulations, clinical guidelines, and policy analysis, often supported by a degree in healthcare administration, public health, or a related field. Familiarity with data analysis tools, medical coding systems (such as ICD-10 or CPT), and healthcare compliance software is typically required. Excellent analytical thinking, communication, and collaboration skills help professionals interpret complex information and work with diverse stakeholders. These skills are crucial for ensuring that medical policies are evidence-based, regulatory compliant, and effectively support organizational and patient outcomes.

What are some common challenges faced by professionals working in medical policy development?

Professionals in medical policy often encounter challenges such as interpreting complex clinical evidence, balancing regulatory requirements with organizational goals, and addressing the diverse needs of stakeholders including clinicians, patients, and payers. They must also stay up-to-date with rapidly evolving medical technologies and guidelines, which can impact existing policies. Effective communication and collaboration across multidisciplinary teams are essential to ensure policies are evidence-based, practical, and aligned with both legal and ethical standards.

What is the difference between Medical Policy vs Medical Claims Specialist?

AspectMedical PolicyMedical Claims Specialist
Required credentialsTypically healthcare or insurance-related certifications, degrees in health administration or related fieldsLikewise, certifications in insurance processing or healthcare administration often preferred
Work environmentOffice settings, insurance companies, healthcare organizationsOffice environments, insurance companies, healthcare providers
Employer and industry usageUsed by insurance companies, healthcare organizations to develop coverage guidelinesUsed by insurance companies, healthcare providers to process and adjudicate claims

Medical Policy professionals focus on creating and managing coverage guidelines, while Medical Claims Specialists handle the processing and reimbursement of healthcare claims. Both roles are essential in the healthcare insurance industry but serve different functions within the claims and coverage process.

Infographic showing various Medical Policy job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Medical Policy Advisor / Medical Plans and Policy Liaison (MARCENT)

Lukos

Tampa, FL

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago


Job description

Position:
Medical Policy Advisor / Medical Plans and Policy Liaison (MARCENT)

Location:

Tampa, FL

Job Id:
2079-OAMS - 25P-MO-933

# of Openings:
1

Medical Policy Advisor / Medical Plans and Policy Liaison (MARCENT)

Please note: This position is contingent upon the award of a contract. We will provide updates on the status of the contract and next steps during the hiring process.

Minimum Qualifications Summary

Certification & Education

  • Must be a U.S. citizen
  • Must possess a current US Passport with ability to travel and work overseas.
  • Must possess a Secret Security Clearance
  • Higher Education Degree in Health Sciences or similar field highly preferred

Experience Required

  • Experience with conducting a medical practice in accordance with DOD guidelines
  • Experience in conducting and evaluating medical readiness exams and utilizing medical tracking systems
  • Experience with TRICARE, medical policy development, and disease surveillance strongly preferred
  • Ten years' military experience

Job Objective
Under a five-year contract, this position will provide support services to assist the U.S. Marine Corps Forces Central Command (MARCENT) Force Surgeon in medical planning, health surveillance, and operational health service support in the CENTCOM Area of Responsibility (AoR).

Responsibilities

  • Provide subject matter expertise to the MARCENT Force Surgeon on medical policies issued by CENTCOM, Bureau of Medicine and Surgery (BUMED), and Defense Health Agency (DHA).
  • Assist in the coordination of medical communications between MARCENT and CENTCOM Surgeon Group (CCSG).
  • Support the integration of biosurveillance, preventive medicine, and force health protection policies across MARCENT activities.
  • Provide subject matter input to G-4 planners and participate in planning meetings and conferences, including support to Annex Q medical planning.
  • Attend, (as schedule permitting), to the CCSG planning meetings and conferences.
  • Coordinate communication between CCSG concerning all matters of biosurveillance, preventive medicine and force health protection that affects US MARCENT forces within the CENTCOM AoR.
  • Provide CENTCOM Medical Operational Deployment (MOD) guidance, and refinement as requested via CCSG office, BUMED and Defense Health Headquarters (DHHQ).
  • Provide pharmaceutical and therapeutics guidance and refinement as requested by CCSG office as it affects CENTCOM AoR medical care and logistics.
  • Support the Armed Forces Blood Program and Force Surgeon US MARCENT, in all matters pertaining to the allocation, utilization and distribution of both US Blood products and policy coordination concerning non-US blood product utilization.
  • Coordinate updates to US MARCENT Force Surgeon concerning Global Health Engagement Policy and Operations, Activities and Investments (OAI) utilization in coordination with US MARCENT G4- Plans, Operations and Medical Intelligence (POMI) and CCSG.
  • Evaluate US Medical Intelligence Data concerning OCONUS medical facilities being utilized by US MARCENT Forces in conjunction with G4-POMI planners and CCSG for all medical plan development.
  • Coordinates the dissemination of information for routine, exercise, and contingency operations for disease and injury patterns, trends, and threats. Monitors the status of force health and develops solutions to emerging health issues in theater.
  • Assist with coordination efforts between MARCENT and medical policy stakeholders (e.g., DHA, HQMC Health Services, Navy Medicine).
  • Provide advisory input on administrative tasks including Purple Heart boards, medical-related readiness events, and coordination with local military treatment facilities.
  • Support tracking of medical evaluations and provide input for operational risk assessments, but will not exercise authority over patient travel or operational assignments.

Security Clearance

  • Must possess a Secret Security Clearance

Education & Certification

  • Must be a U.S. citizen
  • Must possess a current US Passport with ability to travel and work overseas.
  • Must possess a Secret Security Clearance
  • Higher Education Degree in Health Sciences or similar field highly preferred

Work Location

  • Tampa, FL
  • Travel: Contractor personnel must support the projected travel in support of government requirements to MARCENT AOR and supporting locations, which includes but not limited to the following countries: Bahrain, United Arab Emirates (UAE), Saudi Arabia, Jordan, Egypt, France, Germany, United Kingdom, Oman, Qatar, Kuwait, Iraq, Israel, Afghanistan, Syria, Lebanon, Yemen, Pakistan, Turkmenistan, Uzbekistan, Kyrgyz Republic, Tajikistan, Kazakhstan, Djibouti, Cyprus, Turkey, Italy, and Greece. The ideal candidate will be available for travel on less than 24 hours-notice to support personnel recovery and training for forward deployed forces. The ideal candidate will possess the ability to execute OCONUS travel throughout the Central Command (CENTCOM) AOR.

About Lukos
Lukos has been delivering professional services to the Federal Government for 15 years. We help a variety of federal agencies in areas such as national security, homeland security, international development, training, analytics, healthcare, and other professional services. Since our founding, we have grown to support all military services and multiple federal civilian agencies.
About Our Name: Lukos is ancient Greek for "wolf". The characteristics of the wolf match our approach to national security. The wolf is known for cunning, aggression, patience, and teamwork. An individual wolf is smart, strong, and resilient, but the true strength of wolves is their ability to work together as a wolfpack. Kipling said it best in The Law of the Jungle.
"For the strength of the pack is the wolf, and the strength of the wolf is the pack."

At Lukos we take care of our pack by offering full time employees competitive benefits to include: medical, dental, vision, 401(k), life insurance, short and long term disability coverage, paid time off and Federal holidays.

Lukos is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or national origin.

Apply for this Position


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About Lukos

Sourced by ZipRecruiter

Industry

Guided missile and space vehicle manufacturing

Company size

51 - 200 Employees

Headquarters location

Tampa, FL, US

Year founded

2008

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