Remote Medicare Coverage Analyst – Clinical Research

Agence PROvidence; Sacramento (CA); Remote; USD 54,000 - 84,000; Full time

Job summary

Providence is seeking a Research Coverage Analyst to support clinical research programs by developing Medicare Coverage Analysis for trial protocols that include billable services. The role collaborates with CTMS, Budget and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.

The position is remote and open to candidates across several states, with wage ranges that vary by CA location and guidelines.

Qualifications

• Bachelor's degree in Healthcare Administration or 4 years of related experience.
• 2 years direct experience in Coverage Analysis development and interpretation of Medicare requirements for research.
• Experience with Medicare policies and clinical trial coverage is preferred.

Responsibilities

• Develop Medicare Coverage Analysis for all clinical trial protocols.
• Ensure alignment with Medicare policy, guidelines and local/national determinations.
• Collaborate with CTMS, Budget and Billing Adjudication teams to maintain compliance with regulations.

Skills

Coverage Analysis

Medicare rules

Healthcare administration knowledge

Education

Bachelor's Degree in Healthcare Administration

Job description

Providence is seeking a Research Coverage Analyst to support clinical research programs by developing Medicare Coverage Analysis for trial protocols that include billable services. The role collaborates with CTMS, Budget and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.

The position is remote and open to candidates across several states, with wage ranges that vary by CA location and guidelines.