Clinical Research Coverage Analyst

UCHealth University of Colorado Health; Denver (CO); On-site; USD 66,000 - 99,000; Full time

Job summary

UCHealth University of Colorado Health is seeking a Clinical Research Coverage Analyst to support the UCHealth Admin Lowry (Denver) region in a 100% remote capacity. The role focuses on facilitating review and approval of clinical research services while ensuring compliant billing practices, including Medicare Coverage Analysis documentation aligned with study budgets and trial agreements.

The candidate will review studies for regulatory qualification, oversee the first-patient enrollment

Qualifications

• Creates billing plans with Medicare Coverage Analysis documentation for coverage determinations.
• Reviews whether studies are qualified clinical trials under applicable regulations.
• Reviews first patient enrollment to ensure Medicare Coverage Analysis accuracy.

Responsibilities

• Creates billing plan, including Medicare Coverage Analysis documentation, in alignment with the Clinical Trial Agreement, budget, and informed consent pursuant to regulations for coverage determinations.
• Coordinates revision of approval documents per clarifications from study team.
• Conducts review of research studies to determine if they are qualified clinical trials pursuant to appropriate regulations.
• Reviews first patient enrollment in clinical trials to ensure quality and accuracy of Medicare Coverage Analysis documentation.
• Conducts facility review of submitted studies and evaluates protocols for required clinical services.

Skills

Billing compliance

Medicare Coverage Analysis

Clinical research

Education

Associate's degree in health or science related field

Job description

Description

Clinical Research Coverage Analyst

Location:

UCHealth Admin Lowry, Denver CO

Department:

UCHlth Research Admin

Work Schedule:

Full Time, 80.00 hours per pay period (2 weeks)

Shift:

Days

Pay:

$31.61 - $47.41 / hour. Pay is dependent on applicant's relevant experience.

This position is a 100% remote position. Eligible, out-of-state candidates may be considered.

Summary:

Facilitates review and approval of requested clinical research services and ensures billing compliance.

Responsibilities:

• Creates billing plan, including Medicare Coverage Analysis documentation, in alignment with the Clinical Trial Agreement, budget, and informed consent pursuant to regulations for coverage determinations. Coordinates revision of approval documents per the clarifications from study team.
• Conducts review of research studies to determine if they are qualified clinical trials pursuant to appropriate regulations.
• Reviews first patient enrollment in clinical trials to ensure quality and accuracy of Medicare Coverage Analysis documentation.
• Conducts facility review of submitted studies and evaluates protocols for required clinical services.

Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Requirements:

• Associate's degree in a health or science related field.
• 2 years of relevant experience in clinical research.

Employees are our number one asset.

UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. *

Recognition

• Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
• Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
• Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.

Health and well-being

• Medical, dental and vision coverage.
• Access to 24/7 mental health and well-being support for employees and dependents.
• Discounted gym memberships and fitness resources.
• Free Care.com membership.
• Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
• Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
• Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
• Employer-provided short-term disability and long-term disability with a buy-up coverage option.

Retirement and savings

• 403(b) plan with employer matching contribution.
• Additional 457(b) plan may be available.
• Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.

Education and career growth

• UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
  • Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
  • Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
• Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
• Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.

*Eligibility for some programs is based on an employee's scheduled work hours.

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

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