Remote Medicare Coverage Analyst – Clinical Trials

Agence PROvidence; Bozeman (MT); Remote; USD 37,000 - 58,000; Full time

Job summary

The position requires a Bachelor’s in Healthcare Administration or related field (or 4 years of related experience) and 2 years of Coverage Analysis experience, with preferred 4 years in research, billing, or healthcare administration.

Qualifications

• Bachelor’s Degree in Healthcare Administration or related field.
• 2 years direct experience in Coverage Analysis development and interpretation of Medicare requirements for research.
• Preferred: 4 years experience in research, billing, or healthcare administration.

Responsibilities

• Develop Medicare Coverage Analysis for all clinical trial protocols including billable services.
• Collaborate with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.
• Align analyses with Medicare Clinical Trial Policy, national guidelines, local practice guidelines and coverage determinations.
• Remote role open to candidates in specified locations.

Skills

Coverage Analysis experience

Medicare requirements interpretation

Education

Bachelor’s Degree in Healthcare Administration or related field

4 years additional related experience

Job description

The position requires a Bachelor’s in Healthcare Administration or related field (or 4 years of related experience) and 2 years of Coverage Analysis experience, with preferred 4 years in research, billing, or healthcare administration.