Remote Medicare Coverage Analyst for Oncology Trials

Vitalief; New Brunswick (NJ); On-site; USD 75,000 - 100,000; Full time

Benefits offered by this job

Remote-friendly work arrangement

PTO 20 days

9 paid holidays

401(k) retirement plan

Healthcare options

Life insurance

Job summary

Vitalief is seeking a full-time, fully benefited Clinical Trials Medicare Coverage Analyst to support a leading academic medical center client in a remote capacity. The role emphasizes Medicare billing guidelines, oncology protocols, CMS compliance, and OnCore calendar builds.

Collaborate with Clinical Operations, Finance, Regulatory, and Study Teams to optimize coverage analyses, prepare documentation, and support audits, while enjoying a comprehensive benefits package and a fully remote work

Qualifications

• Bachelor’s degree in Healthcare Administration or related field.
• 3+ years of Medicare Coverage Analysis experience.
• Experience with oncology clinical trial protocols.
• Strong CMS guidelines and Medicare billing knowledge.
• Ability to work independently in a remote environment.
• Excellent written and verbal communication.

Responsibilities

• Conduct Medicare Coverage Analyses (MCA) for trial protocols to identify billable vs research-related services.
• Review protocols, schedules of events, and consent forms for billing compliance with CMS rules.
• Develop, maintain, and validate OnCore calendar builds for visits and milestones.
• Collaborate with Clinical Operations, Finance, Regulatory, and Study Teams for guidance on coverage decisions.
• Prepare and maintain coverage analysis documentation and reporting for stakeholders.
• Serve as SME for Medicare coverage rules and advise study teams on risks and recommendations.
• Support internal and external audits ensuring documentation meets requirements.
• Stay updated on CMS changes and industry practices to optimize analyses.

Skills

Medicare Coverage Analysis

CMS guidelines knowledge

OnCore calendar builds

Clinical trial operations

Remote collaboration

Documentation and data management

Education

Bachelor’s degree in Healthcare Administration

Tools

Microsoft Word

Excel

PowerPoint

Adobe Acrobat

Teams

SharePoint

Job description

Vitalief is seeking a full-time, fully benefited Clinical Trials Medicare Coverage Analyst to support a leading academic medical center client in a remote capacity. The role emphasizes Medicare billing guidelines, oncology protocols, CMS compliance, and OnCore calendar builds.

Collaborate with Clinical Operations, Finance, Regulatory, and Study Teams to optimize coverage analyses, prepare documentation, and support audits, while enjoying a comprehensive benefits package and a fully remote work