[Hiring] Medical Research Consultant @GuideWell Source

Role Description

Under limited direction, this position is responsible for providing central research coordination for the Medical Affairs department, which is the primary clinical decision-support and medical policy-making organization within the Medicare Administrative Contractor. Accountabilities include:

• Identification, receipt, tracking, review, analysis, and recommendation regarding evidence for topics under consideration for development or revision of a Local Coverage Determination (LCD) or other action by the Medical Policy team.
• Conducting comprehensive literature searches and reviews to support evidence-based decision making within the organization.
• Synthesizing research findings from diverse sources to provide clear and actionable insights.

Qualifications

• Master's in Public Health, Epidemiology, Health Sciences, Data Science, or a related field.
• Demonstrated proficiency in MS Office applications.
• Demonstrated proficiency in systematic review software tools (e.g., RevMan, DistillerSR, Covidence).
• Demonstrated experience conducting systematic reviews and meta-analyses.
• Demonstrated experience and confidence leading a large group meeting.
• Demonstrated project management experience.
• Detail-oriented with a commitment to producing high-quality work.
• Demonstrated excellent written and verbal communication.
• Demonstrated excellent organization and tracking skills.
• Demonstrated excellent collaboration ability.
• Demonstrated strong analytical and critical thinking.
• Demonstrated ability to work both independently and collaboratively in a team environment.
• Ability to work effectively in a collaborative environment with the Medical Policy team.

Requirements

• Research: Literature analysis, health technology assessment.
• Conduct Comprehensive Literary Searches: (20%)
  • Identify relevant research articles utilizing various databases such as PubMed, Cochrane, and Embase.
  • Screen titles, abstracts, and full-text articles for inclusion based on predefined criteria.
  • Assist with the development and revision of PICOT questions for each LCD project.
  • Completion of evidence searches for requests from Pricing.
  • Assist Medical Policy Nurses with LCD analysis from a research perspective.
• Data Assessment: (40%)
  • Extract relevant data from included studies, ensuring accuracy and consistency.
  • Review statistical data, assess the quality and risk of bias in individual studies using standardized tools.
  • Perform meta-analyses or qualitative synthesis, as appropriate, to combine study findings.
  • Compile unbiased findings in clear, concise, and actionable reports, complete with tables, figures, and appendices.
  • Creation of synthesis workbook for each LCD project.
  • Creation of Evidence Review Table for each Contractor Advisory Committee topic.
  • Incorporate GRADE methodology and perform risk of bias assessments.
• Communication and Collaboration: (15%)
  • Collaborate with interdisciplinary teams, actively presents findings and recommendations for consideration and discussion.
  • Routinely interacts with various levels of staff within the company, including the Contractor Medical Directors (CMDs), management, and routine communications with the Medical Policy team.
  • Serve as liaison during national workgroup meetings, representing the company and sharing information.
  • Serve as point of contact and SME for internal operations including the CMDs and senior leadership regarding research methodologies and related tasks.
• Policy Writing: (20%)
  • Development of summary and analysis of evidence for inclusion in LCDs to support coverage/noncoverage determinations.
  • Active collaborator in the policy writing and determination process.
  • Actively collaborates with the policy nurse to address the evidence portion of the LCD Analyses.
• Operationalization and Training: (5%)
  • Continually update knowledge of systematic review methods, guidelines, and best practices.
  • Provide support and mentorship to junior staff or team members on systematic review methodologies.
  • Contribute to standardizing deliverables (e.g., templates) and health technology assessment process.

Benefits

• Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire.
• Short- and long-term disability benefits.
• 401(k) plan with company match and immediate vesting.
• Free telehealth benefits.
• Free gym memberships.
• Employee Incentive Plan.
• Employee Assistance Program.
• Rewards and Recognition Programs.
• Paid Time Off and Paid Sick Leave.