Medical Research Conslt

at  First Coast Service Options

Are you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services.

Benefits info:

• 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

SUMMARY STATEMENT

Under limited direction, this position is responsible for providing central research coordination for the Medical Policy 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. Medical Research Consultants are responsible for conducting comprehensive literature reviews to support evidence-based decision making within the organization. They play a crucial role in synthesizing research findings from diverse sources to provide clear and actionable insights.

REQUIRED 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 including active participation in meetings, presentation of findings, and respond effectively to questions

PREFERRED QUALIFICATIONS

• Ph.D. in Public Health, Epidemiology, Health Sciences, Data Science, or a related field
• Two years of related experience
• Knowledge of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines
• Experience with GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) methodology
• Familiarity with statistical software (e.g., Stata, R)
• Medicare experience
• Related health care industry experience
  This opportunity is open to remote work in the following approved states: AL, AK, FL, GA, ID, IN, IO, KS, KY, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require further approval. In FL, PA, TX and WI, in-office and hybrid work may also be available.
  The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive.
  “We are an Equal Opportunity Employer/Protected Veteran/Disabled

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
Research: Literature analysis, health technology assessment

Conduct Comprehensive Literature Searches – 25%

• 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

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.

Communication and Collaboration – 25%

• 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

Operationalization and Training – 10%

• Continually update knowledge of systematic review methods, guidelines, and best practices
• Provide training and mentorship to junior staff or team members on systematic review methodologies
• Contribute to standardizing deliverables (e.g., templates) and health technology assessment process

Performs other duties as the supervisor may, from time to time, deem necessary.