Research and Policy Development Manager

Site: Mass General Brigham Health Plan Holding Company, Inc.

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

Responsible for leading and overseeing research initiatives and developing policies that ensure regulatory compliance with intuitional and experimental codes at MGB Health Plan. Collaborates with various departments to identify policy needs and ensure adherence to best practices and legal requirements.

Essential Functions
-Conducts research to identify regulatory requirements and industry best practices.
-Develops and updates hospital policies to ensure compliance with federal, state, and local regulations.
-Collaborates with clinical and administrative teams to implement and enforce policies.
-Monitors changes in healthcare regulations and recommends policy adjustments.
-Prepares reports and documentation for accreditation bodies and regulatory agencies.
-Provides training and education to staff on new and updated policies.
-Leads policy review committees and facilitates stakeholder engagement in policy development.
-Ensures all policies are accessible and communicated effectively across the organization.
-Participates in audits and assessments to evaluate policy compliance.
-Performs other duties as assigned
-Complies with all policies and standards

 

Qualifications

Education

• Bachelor's Degree required (experience can be substituted for degree)

Licenses and Credentials

• Massachusetts Registered Nurse (RN) license required

Experience

• At least 5-7 years in healthcare policy development, compliance, regulatory affairs, or accreditation, preferably in a health insurance setting
• At least 3-5 years of experience in supervisory or leadership role required

Knowledge, Skills, and Abilities

• Knowledge of healthcare regulations and accreditation standards.

• Proficiency in policy development and regulatory compliance.

• Strong research and analytical skills.

• Excellent written and verbal communication abilities.

• Ability to work collaboratively with cross-functional teams.

• Attention to detail and organizational skills.

 

Additional Job Details (if applicable)

Working Conditions

• This is a remote role that can be done in most US states
• This is a part-time position with a 20 hour/week schedule

 

Remote Type

Remote

 

Work Location

399 Revolution Drive

 

Scheduled Weekly Hours

20

 

Employee Type

Regular

 

Work Shift

Day (United States of America)

 

EEO Statement:

Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies ar