Remote Research Manager, Medical Technologies

Mass General Brigham Health Plan Holding Company, Inc.; Somerville (MA); Remote; USD 80,000 - 116,000; Full time

Benefits offered by this job

Flexible work options

HIPAA-compliant remote workspace

Career growth opportunities

Job summary

Mass General Brigham Health Plan Holding Company, Inc. is seeking a policy research professional to support medical technology assessments and utilization management decisions.

This remote, full-time role collaborates with medical leadership across the organization to shape coverage policies. Responsibilities include preparing committee agendas, summarizing literature, updating policy lists, and making recommendations on coverage status.

Qualifications

• Bachelor's Degree required and Master's Degree preferred; experience can be considered in lieu of a degree.
• At least 3-5 years of research experience related to medical technology and/or healthcare services required.
• At least 2-3 years of health plan, managed care, or health insurance industry experience preferred.
• At least 1-2 years of experience with medical policy development, utilization management, or health technology assessment preferred.

Responsibilities

• Prepare the agenda for the Medical Technology Assessment Committee in collaboration with Medical Directors and Manager, Research and Policy Development.
• Research and summarize medical literature, benchmarking, coding, regulations, and medical economics analysis for new medical technologies and for products/services designated as Experimental/Investigational.
• Update and maintain the list of services designated as Experimental/Investigational for each line of business.
• Make recommendations on coverage status based on the synthesis of the research.
• Prepare agenda for the Prior Authorization Committee in collaboration with the chair, co-chair, and analytics team.
• Research relevant coding, benchmarking, and regulations for the Prior Authorization Committee and the Medical Policy Committee.
• Make recommendations to the Prior Authorization Committee on utilization management strategies, informed by value factor analysis and other relevant considerations.

Skills

Research & analytics

Interpersonal skills

Cross-functional collaboration

Medical coding knowledge

Regulatory knowledge

Communication skills

MS Office

Claims systems experience

Education

Bachelor's degree

Master's degree preferred

Job description

Mass General Brigham Health Plan Holding Company, Inc. is seeking a policy research professional to support medical technology assessments and utilization management decisions.

This remote, full-time role collaborates with medical leadership across the organization to shape coverage policies. Responsibilities include preparing committee agendas, summarizing literature, updating policy lists, and making recommendations on coverage status.