Clinical Research Coverage Analyst

The Medicare Coverage Analyst determines whether proposed clinical research studies

are a qualifying clinical trial as defined by the Medicare Clinical Trial Policy (NCD 310.1)

and designates medical procedures/services based on relevant regulations and

determinations.

Location: Fully Remote

Hours: Monday - Friday; Normal Business Hours

Job Summary & Preferred Qualifications:

● Creates coverage analysis grids.

● Researches and applies policies, guidance and guidelines from various sources

including federal and state regulations.

● Understands and/or researches which services are considered routine care in

our clinical research settings.

● Disseminate the coverage analysis to all appropriate parties – budgets team,

sites, and operations.

● Effectively communicate results to departmental contact to ensure consensus

regarding research patient care costs vs. routine care.

● Bachelor’s Degree.

● Certification in Health Research Compliance preferred.

● Experience with institutional research activity billing compliance with all

applicable federal, state, and local laws, rules, regulations and policies and

institutional policies and standard operating procedures.

● Knowledge of clinical research budgeting.

● Knowledge of clinical research protocol management.

● Experience with Oncore preferred