Medical Policy Writer, Oncology

Summary

Join Cohere Health, a rapidly growing clinical intelligence company, as a Medical Policy Writer specializing in Oncology. You will collaborate with researchers, clinical leaders, and subject matter experts to develop and maintain accurate, up-to-date medical policies based on scientific evidence. This role involves drafting, refining, and finalizing policies, ensuring alignment with national guidelines, and communicating changes effectively. You will also monitor clinical trial data and FDA approvals to keep policies current. Success in this position requires strong communication, collaboration, and attention to detail. The ideal candidate will have an advanced degree in a life science field and relevant experience in medical writing or policy development within oncology.

Requirements

• Advanced degree in a life science, pharmacy, medicine, nursing, or related field (e.g., PhD, PharmD, or MSN)
• 3-5 years of experience in medical writing, policy development, or scientific literature research and vetting in oncology
• Strong understanding of oncology treatments, including chemotherapy, targeted therapies, immunotherapies, and evolving standards of care
• Knowledge of CMS policies such as NCDs and LCDs and private payor reimbursement landscapes
• Experience interpreting and summarizing clinical trial data and national guidelines (e.g., NCCN)
• Excellent communication skills, both written and verbal with the ability to translate complex clinical information into clear, concise policy language
• Understanding of coding, billing, and prior authorization processes in oncology
• Detail-oriented and enjoy managing simultaneous projects with multiple stakeholders
• Ability to work independently in a remote work environment with minimal supervision and as part of a team
• Proficient in using collaboration tools such as Confluence and project management software

Responsibilities

• Draft, refine, and finalize oncology medical policy documents based on comprehensive scientific evidence
• Collaborate with scientific literature researchers to incorporate the latest advancements in oncology, including chemotherapy, targeted therapies, immunotherapies, and evolving standards of care
• Work closely with subject matter experts to translate complex oncology research into clear and actionable policy language
• Facilitate policy development sessions to refine and clarify policy drafts
• Ensure policies align with national guidelines (e.g., NCCN, ASCO)
• Provide feedback and guidance to ensure alignment with organizational goals and standards
• Continuously monitor oncology clinical trial data, FDA approvals, and guideline updates to keep policies current
• Ensure medical policy definitions are current and accurately reflect the latest medical guidelines
• Regularly review and update medical policies to incorporate the latest scientific evidence and clinical best practices
• Handle internal requests, scheduled reviews, and updates
• Ensure policies are compliant with CMS policies such as NCDs and LCDs
• Foster strong relationships with key internal stakeholders, including policy writers, medical directors, and clinical leadership
• Communicate policy changes and updates effectively to all relevant internal parties
• Conduct quality checks on policy documents before final approval and publication
• Ensure consistency and accuracy in all policy documents
• Implement a robust review process involving internal and external experts to validate policy content
• Develop and deliver training sessions for policy writers on best practices and organizational standards
• Provide ongoing support and mentorship to policy writers to enhance their skills and knowledge
• Maintain comprehensive documentation of policy development processes and procedures
• Develop and manage a repository for policy documents and related resources
• Ensure all documentation is up-to-date and accessible to relevant stakeholders
• Post approved policies in Confluence
• Track and report on the progress of policy development projects
• Provide regular updates to senior management on policy status, challenges, and achievements
• Utilize data and metrics to assess the effectiveness of policies and identify areas for improvement

Preferred Qualifications

Utilization review experience and/or certification in medical writing is a plus

Benefits

• Health insurance
• 401k
• Bonus