Analyst, Health Policy Research (DME)

BlueCross BlueShield of South Carolina • Columbia, SC

1d • Hybrid

About The Position

This position involves gathering and analyzing data from various sources to find evidence-based information related to health policies. The findings will be used to implement solutions for complex issues and presented to Medical Directors to aid their decision-making. The role is with Palmetto GBA, a subsidiary of BlueCross BlueShield of South Carolina. It is a full-time, 40 hours/week position, Monday-Friday, 8:30 am to 5:00 pm. The role is hybrid, requiring a minimum of three days on-site at 17 Technology Drive (GPC) and allowing up to two remote days after 90 days. Candidates must be authorized to work in the US without sponsorship and have resided in the US for at least 3 years due to federal background clearance requirements. Remote work requires high-speed internet and a private, secure home office. This position is contingent upon funding approval.

Requirements

• Bachelor's degree in a job-related field.
• Two years of demonstrated work experience in conducting, documenting, and presenting evidence-based research to support medical policies, with a demonstrated ability to translate research findings into actionable outcomes or effectuate measurable changes.
• Understanding of policy development.
• Knowledge of medical terminology.
• Ability to understand processes and present policy information to a high standard.
• Strong verbal and excellent written communication and human relations skills.
• Ability to research, plan, and gather data.
• Strong organizational skills necessary to schedule, prioritize, and complete work assignments.
• Microsoft Office.
• Various research software products.

Nice To Haves

• Master's degree in research, public health, healthcare, or a related field.
• A graduate-level background in research methodology is strongly advantageous, as this role requires the ability to conduct rigorous literature and policy research and translate findings into formal written reports and recommendations.
• Medicare DME, prosthetic, and orthotic experience strongly preferred.
• Five or more years of demonstrated work experience in conducting, documenting, and presenting evidence-based research to support medical policies, with a verifiable track record of research that has influenced or effectuated policy or quality standards changes.
• Statistical analysis.
• Strong writing and editing skills.
• Ability to be self-directed and work independently as well as working as part of a team.
• Prior experience using PubMed, GRADE, and EndNote a plus.

Responsibilities

• Conducts health policy and quality standards research in support of DME (Durable Medical Equipment), prosthetic, and orthotic post-payment review.
• Gathers data and information to facilitate the review and overhaul of quality standards that influence Medicare local coverage policy development and decision-making.
• Recommends relevant evidence-based research to assist Medical Directors with quality standards modification and policy development based on best research practices.
• Work may extend to supporting JM/JJ jurisdiction policy development as needs evolve.
• Recommends resources for data/information.
• Analyzes available data/information, monitors data/information quality, and communicates findings related to quality standards and policy impact in reports, presentations, and communications to Medical Directors to facilitate their decision-making.
• Prepares documents, presentations, and other materials for leadership meetings with internal and external audiences.
• Assists with proofreading and article content development.

Benefits

• We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
• If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level