Remote Medicare Coverage Analyst for Clinical Trials

Providence; Portland (OR); Remote; USD 70,000 - 109,000; Full time

Job summary

Providence is seeking a Research Coverage Analyst to develop Medicare Coverage Analyses for clinical trial protocols including billable services. Remote work is supported, with collaboration across Providence Health System and related teams to ensure compliance with federal regulations and internal policies.

The role requires a Bachelor's degree or equivalent experience and 2 years of direct coverage analysis experience.

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 comprehensive Medicare Coverage Analysis aligned with Medicare's Clinical Trial Policy and guidelines.
• Collaborate with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.
• Support clinical research programs across Providence Health System and ensure accuracy of billable services in each protocol.
• Uphold confidentiality, attendance and punctuality standards.

Skills

2 years direct experience in Coverage

Education

Bachelor's Degree in Healthcare Administration or related field or 4 years additional related experience

Job description

Providence is seeking a Research Coverage Analyst to develop Medicare Coverage Analyses for clinical trial protocols including billable services. Remote work is supported, with collaboration across Providence Health System and related teams to ensure compliance with federal regulations and internal policies.

The role requires a Bachelor's degree or equivalent experience and 2 years of direct coverage analysis experience.