Analyst, Clinical Policy

JOB DESCRIPTION Job SummaryProvides analyst support for clinical policy review activities. Supports review and evaluation processes of existing clinical policies, proposes suggested improvements to existing policies, and facilitates research for new policy creation in alignment with market trends, changes and practices across the industry. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties
• Reviews and evaluates existing clinical policies due for annual review.
• Determines any new evidence in areas related to existing policies including new technologies and pharmaceutical drugs.
• Proposes suggestions to improve existing clinical policies.
• Edits and amends existing policies, and write new policy drafts, including assistance with final quality checks to ready for approval.
• Assists with final quality checks on presentations, reports, or procedural document management.
• Liaises with internal and ext...