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Research and Policy Development Manager

Mass General Brigham Health Plan
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Jul 08, 2025
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

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.



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


Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.
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