Remote Medicare Coverage Analyst for Clinical Trials

Providence; California (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

Providence is seeking a Research Coverage Analyst to support clinical research programs by developing Medicare Coverage Analysis for all trial protocols with billable services. The role reports to the Coverage Analysis Manager and involves collaboration across Providence entities to ensure compliance with Medicare policy, national guidelines, and internal standards.

The position emphasizes confidentiality, punctuality, and teamwork with CTMS, Budget, and Billing Adjudication teams.

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 all clinical trial protocols with billable services.
• Collaborate with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.
• Partner with Coverage Analysis Manager and Providence entities to uphold confidentiality, attendance and punctuality.

Education

Bachelor's Degree in Healthcare Administration or related field

2 years direct experience in Coverage Analysis development and Medicare requirements

Job description

Providence is seeking a Research Coverage Analyst to support clinical research programs by developing Medicare Coverage Analysis for all trial protocols with billable services. The role reports to the Coverage Analysis Manager and involves collaboration across Providence entities to ensure compliance with Medicare policy, national guidelines, and internal standards.

The position emphasizes confidentiality, punctuality, and teamwork with CTMS, Budget, and Billing Adjudication teams.