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Medical/UM Clinical Guideline Writer - Job Opportunity at Evolent Health

Remote, US
Full-time
Mid-level
Posted: April 4, 2025
Remote
USD 78,000 per year

Benefits

Comprehensive health insurance coverage
Work-life balance flexibility
Remote work capability
Performance-based bonus structure
Inclusive workplace culture

Key Responsibilities

Lead development and maintenance of Utilization Management clinical guidelines
Drive compliance with NCQA and URAC standards
Oversee Clinical Guideline Committee operations and facilitate meetings
Collaborate with clinical subject matter experts on evidence-based content
Manage stakeholder relationships and integrate regulatory requirements
Support Medical Policy team initiatives

Requirements

Education

Bachelor's degree preferred OR 4+ years medical writing experience OR Master's Degree/PhD

Experience

2+ years healthcare experience preferred

Required Skills

Medical research and writing expertise Analytical/problem solving skills Strong interpersonal skills Excellent verbal and written communication Organizational and tracking abilities Independent work capability Knowledge of NCQA, URAC, CMS preferred
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Sauge AI Market Intelligence

Industry Trends

Healthcare organizations are increasingly focusing on evidence-based clinical guidelines to standardize care delivery and control costs Rising demand for expertise in value-based care models and population health management Growing emphasis on regulatory compliance and accreditation in healthcare management Increasing integration of clinical guidelines with digital health platforms

Salary Evaluation

The offered salary of $78,000 is slightly below market median for this role, which typically ranges from $80,000-$95,000 depending on location and experience level

Role Significance

Typically part of a 5-8 person clinical policy team, interfacing with larger clinical operations department
Mid-level position with significant influence on clinical operations and compliance outcomes

Key Projects

Clinical guideline development and maintenance programs Accreditation preparation and maintenance initiatives Regulatory compliance documentation projects Cross-functional clinical policy integration efforts

Success Factors

Deep understanding of evidence-based medicine and clinical research methodology Strong ability to synthesize complex medical information into clear guidelines Excellent stakeholder management skills across clinical and administrative teams Detail-oriented approach to regulatory compliance requirements

Market Demand

High demand position due to healthcare industry's continued shift toward standardized care protocols and value-based care models

Important Skills

Critical Skills

Medical writing expertise is fundamental for translating complex clinical concepts into clear guidelines Regulatory knowledge essential for ensuring compliance with healthcare standards Stakeholder management crucial for successful guideline implementation

Beneficial Skills

Project management capabilities enhance effectiveness in coordinating guideline development Quality improvement methodology knowledge supports process optimization Healthcare analytics understanding aids in evidence-based decision making

Unique Aspects

Strong focus on evidence-based practice and clinical excellence
Emphasis on work-life balance unusual in healthcare sector
Significant remote work flexibility
Clear commitment to diversity and inclusion

Career Growth

Typical progression to senior level within 2-3 years, management track possible within 4-5 years

Potential Next Roles

Senior Clinical Policy Writer Clinical Policy Manager Medical Policy Director Clinical Operations Director

Company Overview

Evolent Health

Evolent Health is a leading healthcare solutions company focused on value-based care transformation

Well-established player in healthcare management services with strong growth trajectory
National presence with remote work capabilities enhancing talent access
Progressive healthcare environment emphasizing work-life balance and inclusive practices
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