Senior Medicare Coverage Analyst & Mentor (Remote)

Dana-Farber Cancer Institute; Boston (MA); Remoto; USD 78.000 - 90.000; Tempo pieno

Descrizione del lavoro

Dana-Farber Cancer Institute in Boston is seeking a Medicare Coverage Analyst (MCA) to review clinical research documents and produce coverage analyses that distinguish Routine Cost items from sponsor-billed services. The role combines policy interpretation with practical budgeting for trials and requires attention to detail and collaboration with study teams.

The Senior MCA supports complex protocols, mentors junior staff, and ensures timely, compliant determinations while maintaining a

Competenze

• Bachelor's degree or RN credential required.
• 5 years of Medicare coverage analysis experience.
• Experience with research activities in academic medical centers; CTMS experience preferred.

Mansioni

• Mentors and trains junior MCA staff; performs second-level review.
• Creates coverage analysis grids for complex protocols.
• Serves as subject matter expert on LCD/NCD policy and communicates changes to the MCA team.
• Triages workflow based on institutional needs and communicates timelines.
• Interfaces with sponsors to resolve protocol assessment discrepancies.

Conoscenze

Medicare policy knowledge

Billing compliance

CTMS familiarity

Communication/education

Mentoring

Formazione

Bachelor's degree or RN credential

Strumenti

CTMS

Descrizione del lavoro

Dana-Farber Cancer Institute in Boston is seeking a Medicare Coverage Analyst (MCA) to review clinical research documents and produce coverage analyses that distinguish Routine Cost items from sponsor-billed services. The role combines policy interpretation with practical budgeting for trials and requires attention to detail and collaboration with study teams.

The Senior MCA supports complex protocols, mentors junior staff, and ensures timely, compliant determinations while maintaining a