Analyst III - Clinical Trials Coverage

HonorHealth

Scottsdale (AZ)

Hybrid

USD 90,000 - 120,000

Full time

3 days ago
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Job summary

HonorHealth in Scottsdale, AZ, invites applications for an Analyst III - Clinical Trials Coverage. The role provides expert-level oversight of coverage analyses for the institution’s most complex studies, mentoring junior staff and leading process improvements to ensure billing compliance.

Candidates should have 5+ years in clinical research or healthcare operations and 2+ years in coverage analysis or equivalent roles.

Qualifications

  • Bachelors or equivalent required for role.
  • Masters degree preferred.
  • 5 years of clinical research/billing compliance/healthcare operations experience.
  • 2 years of coverage analysis or equivalent experience.
  • Experience leading staff or policy development preferred.

Responsibilities

  • Provide expert-level oversight of coverage analyses for complex studies.
  • Review determinations by junior/mid-level analysts for accuracy and compliance.
  • Interpret billing regulations and advise on institutional risk mitigation.
  • Mentor and coach analysts; support career growth.
  • Lead process improvement initiatives and policy/tool design.

Education

Bachelor's in healthcare administration, nursing, business, life sciences, or related field
Masters in Healthcare administration, public health, business or related field
Experience in clinical research, billing compliance or healthcare operations
Experience in coverage analysis or equivalent role

Job description

Analyst III - Clinical Trials Coverage# HonorHealth careers## Analyst III - Clinical Trials CoverageApply: Hybrid: Shea Medical Office Building - 10290 N 92nd St Scottsdale, AZ 85258: Full time: Posted Today: JR13536**Primary City/State:**Shea Medical Office Building - 10290 N 92nd St Scottsdale, AZ 85258**Category:**Research Operations**Shift:**Day**Department:**HRI-Business Services ABC&EMonday-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
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