Job details
Salary $58,792 - $95,711 a year job type full-time
Full job description
* position is eligible for remote / work from home opportunity *
Hiring manager: linda meyer
Department: medical policy
Talent partner: liz haas
Telecommuting: yes
Paygrade: e12
Job title
Senior medical policy research analyst
Job summary
The senior medical policy research analyst is responsible and accountable for conducting research and generating systematic reviews and technology assessments on a range of new and evolving healthcare technologies, including devices, procedures, medical tests, and pharmaceuticalsResponsibilities include, but are not limited to, performing literature searches, gathering, and synthesizing data, analyzing evidence, writing reports, and contributing to policy development of medicare local coverage determinations, (lcds) and local coverage articles.
Essential functions
Key duties/responsibilities/accountabilities
Conducts a comprehensive search of clinical literature on topics relevant to a proposed or existing local coverage determinations (lcds) within all appropriate electronic databases and internet resources, outline parameters of the database searches with special emphasis on keywords, cross-references, mesh headings, and selection criteria.
Completes clinical literature analysis and writes a summary of evidence report using various software including microsoft office; organize and synthesize data, abstract data into evidence tables, and document clear and concise evidence-based recommendations.
Compiles evidence and extracts, synthesizes, and summarizes information from a range of source documents such as regulatory reports, literature reviews, evidence synthesis reports, clinical studies, technology reports, and assessments.
Collaborates with the contractor medical director and other policy staff to determine the appropriate study selection criteria for inclusion in reports; select studies with the strongest study design, such as well controlled studies with clinically meaningful endpoints published in the peer-reviewed medical literature for analysis.
Evaluates and documents the quality of clinical literature and the strength of evidence using generally accepted methodologies (e.gGrade).
Documents within analysis reports medicare program requirements supporting policy topic.
Identifies, downloads, and maintains, through records that relate to the evidentiary review process including all decisions related to study selection.
Participates in special projects assigned by leadership or management, as needed.
Participates in policy enhancement and/or new policy development initiatives.
Conducts presentations for internal staff or external stakeholders.
Actively participates in workgroups, on conference calls, and attends conferences and public meetings to support meeting contractual requirements, as needed.
Oversees the operational processes to support research tasks in support of proposed or existing lcds.
Develops processes and procedures to support lcd research and functions.
Monitors tools and resources used for evidence review and recommends new tools or resources as needed.
Leads special projects assigned by leadership or management, as needed.
Coordinates efforts of additional staff and/or outside expert testimonials as an additional resource for conducting training or educational activities for internal staff or external stakeholders.
Conducts quality assurance of research and evidence review processes.
Provides direction, feedback, and guidance to medical policy research team.
Non-essential duties and functions
Other duties as assigned
Special projects as assigned.
Minimum qualifications
Bachelor`s degree in biostatistics, life sciences, medical sciences, public health, or closely related field as determined by human resources.
5 years` experience in conducting clinical research, medical evidence reviews, or closely related functions,
Experience requirements in the above 2 bullet points may be obtained simultaneously.
Experience searching bibliographic and regulatory databases.
Excellent analytical skills: ability to organize and evaluate complex clinical trial data and statistical analyses, and ability to summarize findings in a standardized report template.
Skilled in performing comprehensive literature searches of all appropriate databases.
Excellent writing skills including grammar and spelling.
Excellent oral communication skills: ability to present findings or conduct presentations clearly and effectively.
High attention to detail with focus on quality of work produced.
Ability to work well independently and manage multiple projects ensuring deadlines are met.
Ability to contribute in a team setting and collaborate with peers to complete projects timely.
Proactive, effective communication and interpersonal skills necessary to collaborate in cross functional teams as well as to engage as part of a remote team.
Outstanding organizational, prioritization, and time management skills to manage projects; works within budgets and schedules with flexibility and creatively mitigate risks.
Exceptional proficiency with basic computer applications (specifically microsoft office); ability to manage files and work within a digital environment comfortably.
Possesses familiarity of industry standards for evidence-based research methodology.
Preferred qualifications
Above requirements and the following:
Graduate level training (ms, msc, mph, phd, scd) or equivalent expertise in epidemiology, health sciences, nursing, pharmacology, or some other area of biological sciences applicable to clinical medicine.
Experience with reference managers (e.gEndnote).
Experience with medicare program related to requirements for policy development or relatable medical policy development experience with other health plans.
Experience in performing technology assessments or systematic reviews and conducting health-related technology assessments.
Environment and cognitive/physical demands
Office environment
Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
Requires prolonged sitting and telephone use
Requires the use of office equipment such as computer terminals, telephones, copiers, and printers
Infrequent lifting to 15 pounds
Infrequent stooping
Segregation of duties
Every employee is responsible to perform their duties and responsibilities in accordance with noridian values, policies and procedures, including but not limited to: segregation of duties principles, hipaa, security and privacy, cms requirements, the noridian compliance program and any other applicable laws, rules and regulations.
Statement of other duties
This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functionsEmployees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.
Total rewards package:
Health, dental and vision insurance, voluntary insurance plans, health savings and flexible spending accounts, 401k and company match, company-paid life insurance, education assistance program, paid sick leave, paid holidays, increasing pto accrual plan, medical/parental/disability leave, workers compensation, retiree benefits, severance package, employee assistance program, financial and health wellness benefits, casual dress, open office setting, and online learning system.
Cms access compliance and regulation contingency statement
Some positions require compliance with (i) federal and agency specific regulations and related clauses included in noridian`s prime contracts with the government, (ii) background checks, and (iii) eligibility for a government-issued identification card.
Equal employment opportunity
Equal opportunity employer of minorities, females, protected veterans, and individuals with disabilities as well as sexual orientation or gender identity.
Other information
Job posting policy 6.05: new employees with noridian healthcare solutions will be eligible to apply for positions within their assigned department after successfully completing a 90-day reviewFor positions outside their department, they must attain a minimum of six months of service before they can apply.
Notice to colorado applicants:
Per colorado’s equal pay transparency rules act, below is the salary range for potential new hires that will be working/residing in the state of colorado.
Colorado salary range: $58,792.08 - $95,711.25
Other compensation: incentive plan
This job will be closed 10/11/2021 at 8:00am cstNo further applications will be considered.
Equal opportunity employer/protected veterans/individuals with disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicantHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor���s legal duty to furnish information41 cfr 60-1.35(c)
