Remote Medicare Coverage Analyst for Clinical Trials

UCLA Health and David Geffen School of Medicine

Oregon (WI)

Remote

USD 70,000 - 108,000

Full time

4 days ago

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Job summary

Providence Strategic And Management Services is seeking a Research Coverage Analyst to support clinical research programs by developing Medicare Coverage Analyses for trial protocols with billable services. This remote role reports to the Coverage Analysis Manager and collaborates with CTMS, Budget, and Billing Adjudication teams to ensure regulatory compliance.

Minimum qualifications include a Bachelor's in Healthcare Administration (or related field) and 2 years of coverage analysis

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
4 years experience in research, billing, or healthcare administration (preferred)

Responsibilities

Develop Medicare Coverage Analysis for clinical trial protocols that include billable services.
Collaborate with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.
Complete comprehensive Medicare Coverage Analysis aligned with Medicare's Clinical Trial Policy and local/national coverage determinations.
Uphold confidentiality and attendance standards while supporting Providence across multiple entities.