Remote Research Manager - Medical Technologies & Policy

Mass General Brigham; Somerville (MA); Remote; USD 80,000 - 116,000; Full time

Job summary

Mass General Brigham Health Plan Holding Company, Inc. is seeking a policy-focused professional to conduct research on medical technologies and services and to support coverage decisions with evidence and economic analysis.

This role collaborates with medical leadership and cross-functional teams to align with clinical and regulatory requirements. Responsibilities include leading committee processes, performing literature reviews, and making data-driven recommendations on utilization management

Qualifications

• Education Bachelor's Degree required and Master's Degree preferred; experience can be considered in lieu of a degree.
• Experience At least 3-5 years of research experience related to medical technology and/or healthcare services required.
• Experience At least 2-3 years of health plan, managed care, or health insurance industry experience preferred.
• Experience 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 the Medical Directors and the 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

Policy development

Healthcare policy

Cross-functional collaboration

Medical coding knowledge

Regulatory knowledge

Communication skills

Microsoft Office

Education

Bachelor's degree

Master's degree preferred

Job description

Mass General Brigham Health Plan Holding Company, Inc. is seeking a policy-focused professional to conduct research on medical technologies and services and to support coverage decisions with evidence and economic analysis.

This role collaborates with medical leadership and cross-functional teams to align with clinical and regulatory requirements. Responsibilities include leading committee processes, performing literature reviews, and making data-driven recommendations on utilization management