Medical Policy Research Analyst

Providence; Oregon (IL); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player in healthcare is seeking a medical policy research analyst to join their team. This role involves critically evaluating scientific literature and clinical guidelines to develop medical policies that guide coverage decisions. The ideal candidate will have a Master's degree in a health science-related field and experience in clinical research or policy development. Join a culture that values patient-focused care and empowers its caregivers, offering a fully remote work environment for eligible applicants. This is an exciting opportunity to contribute to impactful healthcare decisions.

Qualifications

• 3 years of clinical or research experience required.
• Experience in developing and drafting medical policies.

Responsibilities

• Evaluate scientific literature for medical policy development.
• Assess safety and efficacy of medical devices and procedures.

Skills

Clinical Research

Medical Policy Development

Critical Evaluation of Literature

Health Science Knowledge

Education

Master's Degree in Health Science

Job description

Description

The medical policy research analyst is responsible for the identification, appraisal, and summary of scientific literature, clinical practice guidelines, and state and federal health policy for the development and implementation of Providence Health Plan (PHP) & Providence Health Assurance (PHA) medical policies, which serve as the basis for coverage decisions by internal clinical staff and external providers. Primary responsibilities include critically evaluating current peer-reviewed scientific evidence to assess the safety and efficacy of medical devices, procedures, services, and laboratory testing.

Culture and Benefits

Providence Health Plan caregivers are invaluable. Join our team and thrive in a culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Remote Work Eligibility

Providence Health Plan welcomes 100% remote work for applicants residing in the following states:

• Washington
• Oregon
• California

Required Qualifications

• Master's Degree in a health science-related field (e.g., Nursing, Pharmacy, Public Health, Epidemiology, Biostatistics, Genetics) or current licensure/professional certification (e.g., RN or PA)
• 3 years of clinical or research experience
• 2 years of experience developing and drafting medical policies and assessing medical technologies
• Experience in collecting, critically evaluating, and summarizing scientific literature, clinical practice guidelines, and relevant sources

Preferred Qualifications

• Health plan experience
• Medical coding experience