Feb 27, 2026

Supervisor - Medical Policy - Remote

Job Description

Employer Industry: Healthcare Services Why consider this job opportunity: Opportunity for career advancement and growth within the organization 100% remote work flexibility Comprehensive benefits package including PTO and 401K Supportive and inclusive workplace culture Direct hire position with competitive salary What to Expect (Job Responsibilities): Oversee and supervise the Local Coverage Determination (LCD) and Local Coverage Article development and maintenance functions Ensure timely updates and accuracy of LCDs based on national coding guideline changes and CMS requirements Manage the policy team responsible for LCD and Article development, ensuring timely completion and delivery Maintain communication with external customers and professionals regarding LCD and Article activities Assist in project management tasks related to workload, budget, and reporting for LCDs and Articles What is Required (Qualifications): High School Diploma or GED Minimum of 3 years' related work experience in a clinical field (e.g., RN, PA, or PT) or health insurance operations At least 2 years of direct supervisory or project management experience Proficient in research of CMS guidelines and coverage decisions Active and current medical professional licensure - Registered Nurse (RN) license How to Stand Out (Preferred Qualifications): 5+ years' related work experience Certified Professional Coder (CPC) credential Direct supervisory experience We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer. #J-18808-Ljbffr