Remote Medicare Coverage Analyst, Clinical Research

Providence Health & Services; Anchorage (AK); Remote; USD 69,000 - 109,000; Full time

Job summary

Providence Strategic And Management Services is seeking a Research Coverage Analyst to support Providence's clinical research programs by developing Medicare Coverage Analyses for trial protocols that include billable services. You will report to the Coverage Analysis Manager and collaborate with multiple research entities across Providence.

Responsibilities include aligning Medicare trial policy with local guidelines, partnering with CTMS, Budget, and Billing Adjudication teams to ensure

Qualifications

• Bachelor's Degree in Healthcare Administration or related field or 4 years additional related experience.
• 2 years direct experience in Coverage Analysis development and interpretation of Medicare requirements for research

Responsibilities

• Develop Medicare Coverage Analysis for clinical trials and billable services.
• Align analyses with Medicare Clinical Trial Policy and local/national guidelines.
• Collaborate with CTMS, Budget, and Billing Adjudication teams to ensure regulatory compliance.
• Uphold confidentiality, attendance, and punctuality standards.

Skills

Coverage analysis

Medicare knowledge

Healthcare administration

Stakeholder collaboration

Education

Bachelor’s degree in Healthcare Admin

Tools

CTMS

Billing systems

Job description

Providence Strategic And Management Services is seeking a Research Coverage Analyst to support Providence's clinical research programs by developing Medicare Coverage Analyses for trial protocols that include billable services. You will report to the Coverage Analysis Manager and collaborate with multiple research entities across Providence.

Responsibilities include aligning Medicare trial policy with local guidelines, partnering with CTMS, Budget, and Billing Adjudication teams to ensure