Policy Governance Professional

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Policy Governance Professional based in the United States. As a Policy Governance Professional, you will play a key role in strengthening policy oversight, regulatory compliance, and quality management across Medicaid utilization management programs. You will coordinate end-to-end reporting processes, ensuring accurate data, timely deliverables, and reliable documentation across multiple markets and healthcare service areas. Working closely with clinical, operational, analytical, and compliance teams, you will identify performance trends, investigate potential issues, and recommend actionable improvements. You will also support governance committees, accreditation activities, and corrective action tracking to promote accountability and continuous improvement. This role offers the opportunity to contribute to high-quality healthcare operations within a collaborative, multidisciplinary environment. Designed for a detail-oriented professional with strong analytical and organizational skills, this is a full-time remote opportunity with nationwide availability across the United States.