Research Coverage Analyst - Remote

Providence Health Plan Group; Spokane, Northern (WA, KY); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

401(k) matching

Health benefits

Paid time off

Job summary

Providence Health Plan Group is seeking a Research Coverage Analyst to support clinical research programs remotely. The role involves developing Medicare Coverage Analysis for trial protocols with billable services, aligned with policy and guidelines.

You will collaborate with CTMS, Budget and Billing Adjudication teams to meet federal regulations and internal policies, while maintaining confidentiality and professional standards across Providence's network.

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 clinical trial protocols with billable services.
• Align analyses with Medicare Clinical Trial Policy and local/national guidelines.
• Collaborate with CTMS, Budget, and Billing Adjudication teams to ensure regulatory compliance.

Skills

Coverage Analysis

Medicare requirements

Education

Bachelor's Degree in Healthcare Administration

Job description

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.

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 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.

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.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.