Medical Policy Research Analyst *Remote*

Job Description:

Medical Policy Research Analyst *Remote*

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.

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 the available 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. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.