Nurse Clinical Research I Jobs in Massachusetts

Medicare Part B Appeals experience preferred.

Job Family: Medical and Clinical

Conducts investigations and reviews of member and provider grievances and appeals.

Generates appropriate written correspondence to providers, members, and regulatory entities.

Ensures that appeals and grievances are resolved timely to meet regulatory timeframes.

Adapts to a wide variety of medical review topics in Part B appeals.

Required knowledge, skills, and abilities

Knowledge of medical terminology, drug calculation skills, and clinical medicine

Bachelor of Nursing or another Science degree preferred, or requisite combination of education, training, and experience

Administering investigational medications or providing patient education regarding administration, as necessary

Documenting study data in patient records (paper and electronic, as applicable) to capture protocol requirements

Participating in recruitment and selection of study patients by interviewing and documenting medical history / medication history per protocol requirements

In collaboration with PMCF management, supports the planning, execution and management of schedules for PMCF activities.

Manages internal and external project materials and timelines.

Bachelor’s degree and 1+ years of related work experience in a clinical/scientific field.

Excellent problem solving and analytical skills.

Strong verbal and written communication skills.

Collaborates to create and maintain documentation (such as plans, protocols, reports) for PMCF surveys, focus groups, and retrospective data reviews.

Implements assigned research studies by reviewing study and assessing protocol and institutional requirements:

Ensures appropriate training and certification for all members of the study team involved in the research protocol.

Works collaboratively with research finance to process clinical trial agreements, study budget development and other finance issues, as applicable.

Conducts assigned research studies per protocol requirements, departmental and institutional policy:

Participates in and actively seeks continuing education opportunities.

Maintains required continuing education credits per institutional and departmental SOPs.