Remote Medicare Coverage Analyst - Clinical Trials

Providence Health Plan Group; Spokane, Northern (WA, KY); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

401(k) matching

Health benefits

Paid time off

Job summary

Providence Health Plan Group is seeking a Research Coverage Analyst to support clinical research programs remotely. The role involves developing Medicare Coverage Analysis for trial protocols with billable services, aligned with policy and guidelines.

You will collaborate with CTMS, Budget and Billing Adjudication teams to meet federal regulations and internal policies, while maintaining confidentiality and professional standards across Providence's network.

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 a Medicare Coverage Analysis for clinical trial protocols with 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.

Skills

Coverage Analysis

Medicare requirements

Education

Bachelor's Degree in Healthcare Administration

Job description

Providence Health Plan Group is seeking a Research Coverage Analyst to support clinical research programs remotely. The role involves developing Medicare Coverage Analysis for trial protocols with billable services, aligned with policy and guidelines.

You will collaborate with CTMS, Budget and Billing Adjudication teams to meet federal regulations and internal policies, while maintaining confidentiality and professional standards across Providence's network.