Research Coverage Analyst I

University of South Florida

Tampa (FL)

On-site

USD 55,000 - 75,000

Full time

6 days ago
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Job summary

The Coverage Analyst 1 at University of South Florida (USF) supports Medicare Coverage Analyses (MCAs) for clinical studies to ensure compliance with federal and payer requirements and university billing standards.

Under the supervision of the Assistant Director of Pre-Award, you will collaborate with investigators, study teams, and compliance stakeholders to set up and maintain study operations and financial tracking, while identifying risks and opportunities for process improvements.

Qualifications

  • Bachelor's degree is required.
  • One year of clinical research or research administration experience preferred.

Responsibilities

  • Support and review Medicare Coverage Analyses (MCAs) for industry-sponsored, investigator-initiated, and federally funded clinical research studies.
  • Apply Medicare National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), CMS regulations, and institutional policies to documentation of coverage determinations.
  • Identify services that qualify for Medicare reimbursement and services that must be sponsor-funded.
  • Collaborate with internal and external stakeholders to align MCA findings with study budgets.
  • Identify and communicate financial risks to key stakeholders.
  • Identify opportunities to improve efficiency, quality, and consistency in coverage analysis processes.
  • Support development and maintenance of internal research budgets.
  • Performs other duties and projects as assigned by Assistant Director.

Education

Bachelor's degree in related field

Job description

Under the direct supervision of the Assistant Director of Pre-Award, the Coverage Analyst is responsible for supporting and reviewing comprehensive Medicare Coverage Analyses (MCAs) for clinical research studies to ensure compliance with federal regulations, payer requirements, and institutional billing standards. As a Coverage Analyst 1, you will collaborate with investigators, study teams, research administration, revenue cycle, and compliance stakeholders to ensure accurate set-up and maintenance of the study operations, research billing and financial compliance components. Responsible for performing job duties in accordance with mission, vision and values of University of South Florida.

Minimum Qualifications:
  • Bachelor's degree in related field.
Preferred Qualifications:
  • One year of clinical research or research administration experience.
Additional Information for Applicants: This position is Grant-Funded
This position is not eligible for Visa Sponsorship

Degree Equivalency Clause: Four years of direct experience for a bachelor's degree.

  • Senate Bill 1310- The Florida Senate (https://www.flsenate.gov/Session/Bill/2023/1310) is conditional upon meeting all employment eligibility requirements in the U.S.
  • SB 1310: Substitution of Work Experience for Postsecondary Education Requirements
  • A public employer may include a postsecondary degree as a baseline requirement only as an alternative to the number of years of direct experience required, not to exceed:
  • (a) Two years of direct experience for an associate degree;
  • (b) Four years of direct experience for a bachelor's degree;
  • (c) Six years of direct experience for a master's degree;
  • (d) Seven years of direct experience for a professional degree; or
  • (e) Nine years of direct experience for a doctoral degree
  • Related work experience may not substitute for any required licensure, certification, or registration required for the position of employment as established by the public employer and indicated in the advertised description of the position of employment.
  • Minimum Qualifications that require a high school diploma are exempt from SB 1310.
Working at USF

With approximately 16,000 employees, the University of South Florida is one of the largest employers in the Tampa Bay area. We are dedicated to cultivating a talented, engaged and driven workforce that strives to be bold. Employees excel in USF's rich academic environment, which fosters their development and advancement. In 2025, Forbes recognized USF as one of Florida's best large employers, ranked No. 1 among the state's 12 public universities. Our first-class benefits package includes medical, dental and life insurance plans, retirement plan options, employee and dependent tuition programs, generous leave, and hundreds of employee perks and discounts.

About USF

The University of South Florida is a top-ranked research university serving approximately 50,000 students from across the globe at campuses in Tampa, St. Petersburg, Sarasota-Manatee and USF Health. USF is recognized by U.S. News & World Report as a top 50 public university and the best value in Florida. U.S. News also ranks the USF Health Morsani College of Medicine as the No. 1 medical school in Florida and in the highest tier nationwide. USF is a member of the Association of American Universities (AAU), a group that includes only the top 3% of universities in the U.S. With an all-time high of $738 million in research funding in 2024 and as a top 20 public university for producing U.S. patents, USF uses innovation to transform lives and shape a better future. The university generates an annual economic impact of more than $6 billion. USF's Division I athletics teams compete in the American Athletic Conference. Learn more at www.usf.edu.

Compliance and Federal Notices

This position may be subject to a Level 1 or Level 2 criminal background check.

Applicants have rights under Federal Employment Laws :

The University of South Florida is an equal opportunity employer that does not discriminate against any employee or applicant for employment based on any characteristic protected by law. The University maintains programs for protected veterans and individuals with disabilities in accordance with all applicable federal and state laws.

Family and Medical Leave Act (FMLA)

Applicants for USF employment are entitled to request reasonable accommodation(s) in the application process. A request is to be made at least five (5) working days prior to the time the accommodation(s) is needed. Visit the Central Human Resources ADA Accommodations webpage for more information on requesting an accommodation during the application/interview process.

Equal Employment Opportunity

The University of South Florida is an equal opportunity employer that does not discriminate against any employee or applicant for employment based on any characteristic protected by law. The University maintains affirmative action programs for protected veterans and individuals with disabilities in accordance with all applicable federal and state laws. This job description does not constitute an employment contract.

  • Support and Review Medicare Coverage Analyses (MCAs) for industry-sponsored, investigator-initiated, and federally funded clinical research studies.
  • Apply Medicare National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), CMS regulations, and institutional policies to protocol and site-specific procedures and activities to document coverage determinations and rationale supporting research billing decisions.
  • Identify services that qualify for Medicare reimbursement and services that must be sponsor-funded.
  • Collaborate with internal and external stakeholders to align MCA findings with study budgets.
  • Identify and communicate financial risks to key stakeholders.
  • Identify opportunities to improve efficiency, quality, and consistency in coverage analysis processes.
  • Support development and maintenance of internal research budgets.
  • Performs other duties and projects as assigned by Assistant Director.
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