Healthcare Compliance Researcher

Job Summary

Contributing to large-scale implementation and monitoring initiatives for federal health agencies, the full-time remote Monitoring and Compliance Researcher will develop monitoring frameworks, review compliance documents, and collaborate with data teams to enhance healthcare quality and access.

Key responsibilities

• Develop monitoring and compliance designs, plans, and protocols
• Review participant agreement documents and spending plans related to model eligibility
• Collaborate with data and analytic teams to connect monitoring indicators to data sources

Required qualifications

• PhD in a related field or a master's degree with a minimum of 4 years of relevant applied research experience
• Direct experience with CMS implementation, monitoring, and evaluation
• Knowledge of Medicare payment policy and experience with Medicare or Medicaid claims
• Demonstrated expertise in developing monitoring plans and protocols
• Strong strategic thinking abilities within complex research projects