Remote Medicare Coverage Analyst - Clinical Research

Providence Health & Services; Houston (TX); Remote; USD 73,553,000 - 114,129,000; Full time

Job summary

Providence Strategic And Management Services seeks a Research Coverage Analyst to support clinical research programs across Providence Health System by developing Medicare Coverage Analyses for trial protocols including billable services.

The role reports to the Coverage Analysis Manager and collaborates with multiple research entities, aligning analyses with Medicare policy and national/local guidelines while coordinating with CTMS, Budget and Billing Adjudication teams to ensure compliance.

Qualifications

• Bachelors degree in healthcare administration or related field or equivalent experience.
• Minimum 2 years in Coverage Analysis development and interpretation of Medicare requirements for research.
• Ability to collaborate with CTMS, Budget, and Billing Adjudication teams to ensure compliance with regulations.

Responsibilities

• Develop Medicare Coverage Analysis for all trial protocols with billable services.
• Ensure compliance with Medicare Clinical Trial Policy and guidelines.
• Collaborate with CTMS, Budget, and Billing Adjudication teams to ensure regulatory compliance.

Skills

Bachelor's Degree

Coverage Analysis

Medicare requirements

Healthcare administration

Education

Bachelor's Degree in Healthcare Administration or related field

Tools

CTMS

Job description

Providence Strategic And Management Services seeks a Research Coverage Analyst to support clinical research programs across Providence Health System by developing Medicare Coverage Analyses for trial protocols including billable services.

The role reports to the Coverage Analysis Manager and collaborates with multiple research entities, aligning analyses with Medicare policy and national/local guidelines while coordinating with CTMS, Budget and Billing Adjudication teams to ensure compliance.