Research Coverage Analyst - Remote

Providence; Tacoma (WA); Remote; USD 73,000 - 113,000; Full time

Job summary

Providence is seeking a Research Coverage Analyst to develop Medicare Coverage Analyses for clinical trial protocols in a remote role. You will work across Providence Health System with the Coverage Analysis Manager and collaborate with CTMS, Budget, and Billing Adjudication teams to ensure regulatory compliance.

The ideal candidate has a healthcare administration background and experience in Medicare coverage analysis, with strong attention to detail and reliability.

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 CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.
• Align CCS with Medicare's Clinical Trial Policy and local and national coverage determinations.
• Uphold confidentiality, attendance and punctuality.

Education

Bachelor's Degree in Healthcare Administration or related field

Job 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.