Research Coverage Analyst - Remote

Providence; Alaska; Teletrabalho; USD 47 000 - 72 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

401(k) matching

Health insurance

Life insurance

Disability insurance

Paid time off

Resumo da oferta

Providence is seeking a Research Coverage Analyst to support the clinical research programs across the Providence Health System by developing a Medicare Coverage Analysis for all clinical trial protocols that include billable services.

The role reports to the Coverage Analysis Manager and collaborates with CTMS, Budget, and Billing Adjudication teams to ensure compliance with Medicare policies and internal guidelines, while upholding confidentiality and professional standards.

Qualificações

• Bachelor's Degree in Healthcare Administration or related field; 4 years additional related experience acceptable alternatives.
• 2 years direct experience in Coverage Analysis development and interpretation of Medicare requirements for research.

Responsabilidades

• Develop Medicare Coverage Analysis for all clinical trial protocols including billable services.
• Partner with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.
• Uphold confidentiality, attendance, and punctuality.

Conhecimentos

Coverage Analysis experience

Formação académica

Bachelor's Degree in Healthcare Administration

Descrição da oferta de emprego

Description

Providence is calling for Research Coverage Analyst - Remote

The Research Coverage Analyst will support the clinical research programs across the Providence Health System by developing a Medicare Coverage Analysis for all clinical trial protocols that include billable services. This position reports to the Coverage Analysis Manager and includes collaboration with several research entities within Providence. Main responsibilities include completing a comprehensive Medicare Coverage Analysis in alignment with Medicare's Clinical Trial Policy, national medical guidelines, local practice guidelines, peer-reviewed publications and local and national coverage determinations that encompasses all billable services within the clinical trial protocol. Partner with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies. Must uphold the standards of confidentiality, attendance and punctuality.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required 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

Preferred Qualifications:

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

Salary Range by Location:

• AK: Anchorage:Min: $33.63, Max: $52.22

• AK: Kodiak, Seward, Valdez:Min: $35.06, Max: $54.43

• California: Humboldt:Min: $35.06, Max: $54.43

• California: All Northern California - Except Humboldt:Min: $39.33, Max: $61.07

• California: All Southern California - Except Bakersfield: Min: $35.06, Max: $54.43

• California: Bakersfield:Min: $33.63, Max: $52.22

• Montana: Except Great Falls:Min: $27.08, Max: $42.04

• Montana: Great Falls:Min: $25.65, Max: $39.83

• New Mexico:Min: $27.08, Max: $42.04

• Oregon: Non-Portland Service Area:Min: $31.35, Max: $48.68

• Oregon: Portland Service Area:Min: $33.63, Max: $52.22

• Texas:Min: $25.65, Max: $39.83

• Washington: Western:Min: $35.06, Max: $54.43

• Washington: Southwest - Olympia, Centralia & Below:Min: $33.63, Max: $52.22

• Washington: Eastern:Min: $29.93, Max: $46.46

• Washington: South Eastern:Min: $31.35, Max: $48.68

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.