Research Manager, Medical Technologies
Core
Leads research on medical technologies and products to support coverage decisions, utilization management, and medical policy development for a health plan.
Role type
Senior research manager (medical technology assessment and policy)
Builds
Coverage policies, utilization management strategies, and committee decisions for medical technologies
Domain
Healthcare / Health Insurance / Medical Technology Assessment
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical technology research, medical literature synthesis, benchmarking, medical economics analysis, regulatory knowledge (CMS, state insurance), medical coding (CPT, HCPCS, ICD-10), committee management, policy development
Preferred skills
Health plan/managed care industry experience, health technology assessment experience, utilization management experience
Technologies
Microsoft Office (Word, Excel, PowerPoint), claims/coverage policy systems
Responsibilities
Prepare agendas for Medical Technology Assessment and Prior Authorization committees; research and summarize medical literature and regulations; update lists of Experimental/Investigational services; make recommendations on coverage status and utilization management strategies
Seniority
Senior, hands-on IC