Remote Research Manager - Medical Technologies & Policy

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

Benefits offered by this job

Flexible work options

Remote role

Job summary

Mass General Brigham Health Plan is seeking a seasoned professional to lead research and policy development for medical technologies and coverage decisions from a remote location. You will collaborate with medical leadership and cross-functional teams to drive evidence-based coverage and utilization management strategies.

The role requires strong analytical and communication skills, experience in health plan settings, and familiarity with CPT/HCPCS/ICD-10 coding and regulatory requirements.

Qualifications

• Bachelor's degree required; master's preferred or equivalent experience.
• 3–5 years of research experience in medical technology or healthcare services.
• 2–3 years in health plan, managed care, or health insurance industry preferred.
• 1–2 years in medical policy development, utilization management, or health technology assessment preferred.

Responsibilities

• Prepare agenda for the Medical Technology Assessment Committee with key stakeholders.
• Research and summarize medical literature, benchmarking, coding, regulations, and medical economics analyses.
• Update and maintain the list of services designated as Experimental/Investigational for each line of business.
• Recommend coverage status based on synthesis of research findings.
• Prepare agenda for the Prior Authorization Committee with chairs and analytics team.
• Research relevant coding, benchmarking, and regulations for committees and policies.
• Recommend utilization management strategies informed by value analysis and related considerations.

Skills

Research

Analytical skills

Communication

Interpersonal skills

Team collaboration

Medical coding knowledge

Education

Bachelor's Degree

Master's Degree preferred

Tools

Microsoft Office

Claims processing systems

Job description

Mass General Brigham Health Plan is seeking a seasoned professional to lead research and policy development for medical technologies and coverage decisions from a remote location. You will collaborate with medical leadership and cross-functional teams to drive evidence-based coverage and utilization management strategies.

The role requires strong analytical and communication skills, experience in health plan settings, and familiarity with CPT/HCPCS/ICD-10 coding and regulatory requirements.