Analyst III - Clinical Trials Coverage

30 Shea Medical Center; United States; On-site; USD 95,000 - 140,000; Full time

Job summary

HonorHealth in Scottsdale, AZ is seeking a Senior Clinical Trial Coverage Analyst to provide expert analysis and oversight for complex research studies, ensuring billing compliance and institutional risk mitigation.

You will mentor analysts, lead process-improvement initiatives, and partner with finance and compliance to resolve escalated issues while shaping coverage analysis policies across the research enterprise.

Qualifications

• 5 years of clinical research experience; healthcare operations experience acceptable.
• 2 years of progressively responsible experience in coverage analysis or equivalent.
• Experience leading or supervising staff and developing institutional policy.
• Certification in Clinical Research or healthcare compliance is preferred.

Responsibilities

• Provide expert-level oversight of coverage analyses for the most complex and high-risk studies.
• Review 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 to 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 analysts to build expertise and consistency.
• Lead institutional process improvement: design, refine, and implement policies and tools.
• Drive initiatives to improve accuracy, efficiency, and compliance in billing practices.
• Identify systemic risks and propose enterprise-level solutions.

Skills

Clinical research

Billing compliance

Leadership

Policy development

Mentoring staff

Education

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

Master's 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.

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.
• Prior experience leading or supervising staff, developing institutional policy, or representing coverage analysis in cross-functional leadership settings.

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).

We're all in for your career. Expert care from experts who care. At HonorHealth, you’ll find something special. Our culture is built on warmth and neighborly kindness, but behind every smile is a highly skilled professional with deep expertise and unwavering dedication. We’re delivering a healthcare experience that simply feels better through:

• Nine acute-care hospitals
• Over 200 primary, specialty and urgent care centers
• More than 17,000 team members and 4,000 medical staff

Since 1927, we’ve been focused on doing what matters most — caring for people and communities across the greater Phoenix area. From humble beginnings to one of Arizona’s largest nonprofit healthcare systems, we’re just as driven as we were a century ago. Come join us and go all in for your career.