Remote Medicare Coverage Analyst for Clinical Trials

Agence PROvidence; Santa Fe (NM); Remote; USD 80,000 - 110,000; Full time

Job summary

Providence is seeking a Research Coverage Analyst to support clinical research programs by developing Medicare Coverage Analyses for trial protocols with billable services. The role reports to the Coverage Analysis Manager and collaborates with multiple Providence research entities.

The ideal candidate will have a Bachelor's in Healthcare Administration (or equivalent) and experience in Medicare coverage analysis, research, billing, or healthcare administration.

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.
• 4 years experience in research, billing, or healthcare administration.

Responsibilities

• Develop Medicare Coverage Analysis aligning with Medicare Clinical Trial Policy, national guidelines, local practices and coverage determinations for all billable trial services.
• Collaborate with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.

Skills

Coverage analysis

Education

Bachelor's degree in Healthcare Administration or related field

Job description

Providence is seeking a Research Coverage Analyst to support clinical research programs by developing Medicare Coverage Analyses for trial protocols with billable services. The role reports to the Coverage Analysis Manager and collaborates with multiple Providence research entities.

The ideal candidate will have a Bachelor's in Healthcare Administration (or equivalent) and experience in Medicare coverage analysis, research, billing, or healthcare administration.