Manager, Coverage Analysis – Budget

🕒 il y a 12 jours

🏄 California – Distant

🏄 California – Remote

💵 $129 188 - $193 772 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Sutter Health

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en Sutter Health was founded in 1996.

🏥 Santé

⚕️ Assurance santé

🤝 À but non lucratif

💰 Grant en 2016-11

Healthcare • Healthcare Insurance • Non-profit

Sutter Health est un système de santé à but non lucratif desservant le nord de la Californie, offrant un large éventail de services de santé. Il fournit des soins primaires et spécialisés complets, y compris la santé mentale, l’oncologie, l’orthopédie, la santé des femmes, et plus encore. L'organisation prend en charge les visites en personne et virtuelles, assurant l'accessibilité de ses services. Sutter Health est également impliqué dans la recherche médicale, l'éducation et propose divers régimes de santé, y compris Sutter Health Plus. Elle met l'accent sur des soins innovants et compatissants et maintient un réseau d'hôpitaux, de groupes médicaux et d'autres prestataires de santé à travers le nord de la Californie.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

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