Medical Policy Research Analyst *Remote*

Providence Health & Services; Washington (District of Columbia); Remote; Full time

Job summary

An established industry player is seeking a dedicated medical policy research analyst to join their team. In this role, you will critically evaluate scientific literature and clinical guidelines to shape medical policies that guide coverage decisions. This position offers the flexibility of remote work while promoting a culture of patient-focused care. You will thrive in an environment that values your insights and contributions, empowering you to make a significant impact on patient care. Join a team committed to serving the community and enhancing health outcomes through evidence-based practices.

Benefits

401(k) Savings Plan with employer matching

Health care benefits (medical, dental, vision)

Life insurance

Disability insurance

Paid time off (parental leave, vacations)

Voluntary benefits

Well-being resources

Qualifications

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

Responsibilities

• Evaluate scientific literature for medical policy development.
• Summarize clinical practice guidelines for coverage decisions.

Skills

Clinical research

Policy development

Literature evaluation

Education

Master's Degree in Health Science

Licensure or certification (e.g., RN, PA)

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 of coverage decisions by internal clinical staff and external providers. Primary responsibilities include critical evaluation of the current peer-reviewed scientific evidence to assess the relative safety and efficacy of medical devices, procedures, services, and laboratory testing.

Join Our Team

Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our 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.

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

• Washington
• Oregon
• California

Required Qualifications

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

Preferred Qualifications

• Health plan experience
• Medical coding experience

Salary Range by Location

• California: Humboldt: Min: $54.40, Max: $85.88
• California: All Northern California - Except Humboldt: Min: $61.04, Max: $96.35
• California: All Southern California - Except Bakersfield: Min: $54.40, Max: $85.88
• California: Bakersfield: Min: $52.19, Max: $82.39
• Oregon: Non-Portland Service Area: Min: $48.65, Max: $76.80
• Oregon: Portland Service Area: Min: $52.19, Max: $82.39
• Washington: Western - Except Tukwila: Min: $54.40, Max: $85.88
• Washington: Southwest - Olympia, Centralia & Below: Min: $52.19, Max: $82.39
• Washington: Tukwila: Min: $54.40, Max: $85.88
• Washington: Eastern: Min: $46.44, Max: $73.31
• Washington: Southeastern: Min: $48.65, Max: $76.80

Why Join Providence Health Plan?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons such as changes of Legal Employer, FTE, Union, location, time-off policies, and other factors.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard, and respected. Our 120,000 caregivers serve in over 50 hospitals, over 1,000 clinics, and a full range of health and social services across multiple states. We are committed to serving the poor and vulnerable, continuing our more than 100-year tradition of service.

The listed amounts are the base pay range; additional compensation may be available, such as shift differentials, standby/on-call, overtime, premiums, or bonuses.

Benefits

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, paid time off (parental leave, vacations, holidays), voluntary benefits, well-being resources, and more. Learn more at providence.jobs/benefits.

About The Team

Providence Shared Services provides support services across our organization, focused on supporting our Mission through specialized expertise and robust service delivery.

Providence is proud to be an Equal Opportunity Employer. We are committed to an inclusive workforce and equal opportunities for all, regardless of race, color, gender, disability, veteran status, religion, age, sexual orientation, marital status, or other protected categories.

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