Remote Research Coverage Analyst: Medicare Trials

Providence Health & Services; Albuquerque (NM); Remote; USD 65,000 - 90,000; Full time

Job summary

Providence Health & Services 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 across Providence research entities to align analyses with Medicare policy, national guidelines, and local practice standards.

A strong emphasis on cross-functional teamwork with CTMS, Budget, and Billing Adjudication is essential, while

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 Medicare Coverage Analysis for all clinical trial protocols that include billable services.
• Collaborate with Providence research entities and with CTMS, Budget, and Billing Adjudication teams to ensure compliance with regulations.
• Uphold confidentiality, attendance and punctuality.

Skills

Coverage Analysis

Medicare requirements

Healthcare Administration

Education

Bachelor's Degree in Healthcare Administration

4 years related experience

Tools

CTMS

Budgeting systems

Billing Adjudication

Job description

Providence Health & Services 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 across Providence research entities to align analyses with Medicare policy, national guidelines, and local practice standards.

A strong emphasis on cross-functional teamwork with CTMS, Budget, and Billing Adjudication is essential, while