Analyst III - Clinical Trials Coverage

HonorHealth; Scottsdale (AZ); On-site; USD 90,000 - 140,000; Full time

Job summary

HonorHealth is seeking a Senior Clinical Trial Coverage Analyst to provide expert oversight for the most complex research studies in Scottsdale. You will mentor staff, ensure billing compliance, and drive standardized coverage analysis practices across the research enterprise.

You will partner with finance and compliance, interpret complex billing regulations, and serve as a trusted advisor to investigators and leadership, shaping institutional policies and risk mitigation strategies.

Qualifications

• Bachelor's degree in healthcare administration, nursing, business, life sciences, or related field is required.
• Master's in Healthcare administration, public health, business or related field preferred.
• 5+ years of progressively responsible experience in clinical research, billing compliance, or healthcare operations.
• 2+ years of progressively responsible experience in coverage analysis or equivalent role.
• Prior experience leading or supervising staff and developing institutional policy is preferred.

Responsibilities

• Provide expert-level oversight of coverage analyses for the most complex and high-risk studies.
• Serve as subject matter expert and advisor to investigators, leadership, compliance, and finance.
• Mentor and develop staff; train analysts at all levels and support career growth.
• Lead institutional process improvement; design, refine and implement policies and tools.
• Perform other duties as assigned.

Education

Bachelor's degree in healthcare administration, nursing, business, life sciences, or related field

Masters in Healthcare administration, public health, business or related field

Job description

Primary City/State:

Shea Medical Office Building - 10290 N 92nd St Scottsdale, AZ 85258

Category:

Research Operations

Shift:

Day

Department:

HRI-Business Services ABC&E

Monday-Friday, 8:00am-5:00pm

Great care starts with great people. (Like you.)

At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

JOB SUMMARY

Under minimal supervision, the Senior Clinical Trial Coverage Analyst provides expert-level analysis and oversight for the institution's most complex clinical research studies. The Senior Analyst reviews and validates the work of junior staff, serves as a subject matter expert for investigators and leadership, and develops guidance to ensure institutional compliance with billing regulations. This role is responsible for mentoring analysts, leading process improvement initiatives, and partnering with finance and compliance offices to resolve escalated issues. The Senior Analyst plays a key role in shaping institutional policies and driving standardization of coverage analysis practices across the research enterprise.

ESSENTIAL FUNCTIONS

• Provide expert-level oversight of coverage analyses:
  Lead and perform analyses for the most complex and high-risk studies.
  Review and validate determinations completed by junior and mid-level analysts.
  Ensure institutional consistency, accuracy, and compliance across the research portfolio.
• Act as subject matter expert and advisor:
  Serve as a trusted resource for investigators, leadership, compliance, and finance.
  Interpret complex billing regulations and advise on institutional risk mitigation.
  Represent the coverage analysis team in high-level discussions or escalations
• Mentor and develop staff:
  Train and coach analysts at all levels to build expertise and consistency.
  Provide feedback and support career growth within the coverage analysis team.
• Lead institutional process improvement:
  Partner with leadership to design, refine, and implement policies and tools.
  Drive initiatives that improve accuracy, efficiency, and compliance in billing practices
  Identify systemic risks and propose enterprise-level solutions
• Performs other duties as assigned.

EDUCATION

• Bachelors in healthcare administration, nursing, business, life sciences, or related field OR
  Equivalent combination of education and related experience may be considered in lieu of degree Required
• Masters in Healthcare administration, public health, business or related field Preferred

EXPERIENCE

• 5 years, Progressively responsible experience in clinical research, billing compliance, or healthcare operations. Required
• 2 years, Progressively responsible experience in coverage analysis or equivalent role. Required
• , Prior experience leading or supervising staff, developing institutional policy, or representing coverage analysis in cross-functional leadership settings. Preferred

LICENSE AND CERTIFICATIONS

• Certified Clinical Research Coordinator - Certification, Professional certification in Clinical Research (ACRP, SOCRA, or equivalent) Preferred
• Certified Healthcare Compliance (CHC) - Certificate, Professional certification in healthcare compliance (CHC, RHIA) Preferred
• Certified Professional Coder (CPC) - Certification, Professional certification in medical billing/coding (CPC, COC) Preferred

We're all in for your career.