Remote Medicare Coverage Analyst for Clinical Trials

Providence; Oregon (WI); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) with employer matching

Paid time off

Job summary

Providence is seeking a Research Coverage Analyst - Remote to develop Medicare Coverage Analyses for clinical trial protocols with billable services. The role collaborates with CTMS, Budget, and Billing Adjudication teams and aligns analyses with Medicare policies and local guidelines to ensure compliance across Providence Health System.

The successful candidate will have a Bachelor's in Healthcare Administration or equivalent, plus 2 years of coverage analysis experience and knowledge of

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 clinical trial protocols with billable services.
• Collaborate with CTMS, Budget, and Billing Adjudication teams to ensure compliance.
• Align analyses with Medicare policies, local guidelines, and coverage determinations.
• Maintain confidentiality, attendance and punctuality per Providence standards.

Skills

Coverage analysis knowledge

Medicare regulations understanding

Research coordination

Education

Bachelor's degree in Healthcare Administration or related field

4 years related experience in lieu of degree

Job description

Providence is seeking a Research Coverage Analyst - Remote to develop Medicare Coverage Analyses for clinical trial protocols with billable services. The role collaborates with CTMS, Budget, and Billing Adjudication teams and aligns analyses with Medicare policies and local guidelines to ensure compliance across Providence Health System.

The successful candidate will have a Bachelor's in Healthcare Administration or equivalent, plus 2 years of coverage analysis experience and knowledge of