Research Analyst

  • Turnaheadr
  • Pune, Maharashtra, India
  • Nov 19, 2016
Full time Bio-Tech, Clinical Research

Job Description

 Supports US Research Medical Directors and/or US Client Medical Directors and Client Policy Managers to provide oversight for     the accuracy and quality of research materials originated from Medical Policy and Client Services 
• Supports the scheduled review process for global and specialty policies in collaboration with the US Research Medical Directors 
• Supports the scheduled review process for State Medicaid policies in collaboration with the US Client Medical Directors and/or Client Policy Managers 
• Coordinates with US Research Medical Directors to manage the integrity of the Payment Policy Library and ensure the Payment Policy Library is accurate and up-to-date 
• Supports quarterly and annual updates in collaboration with the US Research Medical Directors 
• Ensures changes to rule sets are accurate, complete and are finished in a timely manner including documentation of notable changes 
• Responds to the research related queries pertaining to the medical policy raised by internal personnel or client including but not limited to: 
• Questions about claims edits that enforce medical policy 
• Interpretation of how claims edits relate to policy statements. 
• Recommendations regarding modifications of edits 
• Conducts research to explore potential opportunities to expand the current medical policy set 
• Partners well with global research team members to advance the Research agenda. 
• Educates US Client Service MDs and Client Policy Managers (CPMs) on new changes and policy updates by actively participating in monthly meetings.