Manager, Coverage Analysis – Budget

🕒 Outubro 13

🏄 California – Remoto

🏄 California – Remote

💵 $129.188 - $193.772 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 4%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 29 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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Sutter Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em Sutter Health was founded in 1996.

🏥 Saúde

⚕️ Seguro de Saúde

🤝 Sem Fins Lucrativos

💰 Grant em 2016-11

Healthcare • Healthcare Insurance • Non-profit

A Sutter Health é um sistema de saúde sem fins lucrativos que atende o norte da Califórnia, oferecendo uma ampla gama de serviços de saúde. Ela fornece cuidados primários e especializados abrangentes, incluindo saúde mental, oncologia, ortopedia, saúde da mulher e muito mais. A organização apoia consultas presenciais e virtuais, garantindo acessibilidade aos seus serviços. A Sutter Health também está envolvida em pesquisa médica, educação e oferece diversos planos de saúde, incluindo o Sutter Health Plus. Ela enfatiza o cuidado inovador e compassivo e mantém uma rede de hospitais, grupos médicos e outros provedores de saúde em todo o norte da Califórnia.

Descrição

• Lead and perform clinical research pre-award activities associated with Medicare coverage analysis and protocol-driven budget development • Negotiate with sponsors and clinical research organizations • Conduct financial feasibility analysis and align study financial terms with institutional requirements • Ensure the quality, timeliness, and consistency of coverage analyses and budgets across the enterprise research portfolio • Lead staff and daily operations as a working manager • Maintain an assigned study portfolio and serve as escalation point for complex oncology, cardiovascular, device, multi-arm, and other high-risk studies • Partner with research operations, contracting, legal, compliance, finance, revenue cycle, Epic teams, investigators, and external sponsors • Move studies from protocol intake through executable budget terms and activation readiness • Establish standardized workflows, workload controls, quality review, training, performance expectations, and key performance indicators • Provide subject-matter expertise on Medicare Clinical Trial Policy, National and Local Coverage Determinations, device coverage categories, coding and billing considerations, payer allocation, research cost identification, and clinical trial financial practices

🎯 Requisitos

• Equivalent experience will be accepted in lieu of the required degree or diploma • Bachelor's degree in Accounting, Finance, Business Administration, or related field, unless substituted by equivalent experience • 5 years of recent relevant experience • Advanced knowledge of clinical research pre-award operations, protocol interpretation, Medicare coverage analysis, clinical trial budgeting, sponsor negotiation, and research billing compliance • Working knowledge of Medicare Clinical Trial Policy, Medicare coverage guidance, National and Local Coverage Determinations, investigational device concepts, medical coding, payer requirements, and Good Clinical Practice • Ability to translate complex protocols into auditable coverage and financial decisions • Strong people leadership, workload management, judgment, negotiation, conflict resolution, written communication, and stakeholder management skills • Advanced analytical capability with financial models, pricing assumptions, variance review, performance metrics, and data-informed process improvement • Ability to manage multiple priorities and make complex and sensitive decisions independently within delegated authority • Ability to escalate material compliance, financial, or operational risk appropriately

🏖️ Benefícios

• Comprehensive benefits package • Total rewards program • Regular employee status • Exempt position • Monday–Friday schedule • No weekend requirements

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