Medical Policy Research Analyst *Remote*

Providence Health & Services; California (MO); Remote; Full time

Job summary

Join a forward-thinking health organization as a Medical Policy Research Analyst, where you'll play a vital role in shaping medical policies based on rigorous scientific evaluation. This fully remote position allows you to work from the comfort of your home while making a significant impact on healthcare decisions. You'll engage in critical analysis of clinical guidelines and health policies, ensuring that coverage decisions are informed by the latest evidence. With a commitment to patient-centered care and a culture that values your contributions, this is an exciting opportunity to advance your career in a supportive environment.

Benefits

401(k) with employer match

Health insurance

Life and disability insurance

Paid time off

Shift differentials

On-call pay

Overtime compensation

Bonuses

Qualifications

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

Responsibilities

• Identify and summarize scientific literature for medical policies.
• Evaluate safety and efficacy of medical devices and procedures.

Skills

Clinical Research

Medical Policy Development

Scientific Literature Evaluation

Health Science Knowledge

Education

Master's Degree in Health Science

Professional Certification (e.g., RN, PA)

Job description

Description

Medical Policy Research Analyst
Remote

The medical policy research analyst is responsible for identifying, appraising, and summarizing scientific literature, clinical practice guidelines, and state and federal health policies to develop and implement Providence Health Plan (PHP) & Providence Health Assurance (PHA) medical policies. These policies serve as the basis for coverage decisions made 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.

Our Culture

Providence Health Plan caregivers are invaluable. Join our team and thrive in a culture focused on patient-centered, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we believe that empowering our staff is key to inspiring and retaining the best people.

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, PA)
• At least 3 years of clinical or research experience
• At least 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 other relevant sources

Preferred Qualifications

• Experience working in a health plan
• Medical coding experience

Salary Range by Location

Ranges vary by state and region, e.g., California (Humboldt): Min $54.40, Max $85.88; Oregon (Portland): Min $52.19, Max $82.39; Washington (Western): Min $54.40, Max $85.88, etc.

Why Join Providence Health Plan?

Our best-in-class benefits are designed to support your well-being, professional growth, and financial security. We care for you so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in our promise: “Know me, care for me, ease my way.” We support our caregivers in their careers, foster an inclusive workplace, and serve in over 50 hospitals and 1,000 clinics across multiple states. We are committed to serving the poor and vulnerable, with a history spanning over 100 years.

Additional Information

The listed pay range is the base; additional compensation may include shift differentials, on-call pay, overtime, premiums, and bonuses. Providence offers comprehensive benefits including a 401(k) with employer match, health insurance, life and disability insurance, paid time off, and more. Learn more at providence.jobs/benefits.

About The Team

Providence Shared Services provides support services across our organization, supporting our mission with specialized expertise. We are committed to diversity and inclusion, ensuring a respectful and equitable workplace for all employees.

Requisition ID: 363668

Company: Providence Jobs

Job Category: Member Services Enrollment & Billing

Job Function: Health Plans Services

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 5018 HCS MEDICAL MANAGEMENT OR REGION

Address: OR Beaverton 3601 SW Murray Blvd

Work Location: Murray Business Ctr Beaverton-Beaverton

Workplace Type: Remote

Pay Range: See posting