Research Coverage Analyst

🔥 3 minutes ago

🐻 Alaska, California, +5 more states – Remote

🐻 Alaska – Remote 🏄 California – Remote 🦬 Montana – Remote 🌶️ New Mexico – Remote 🌲 Oregon – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $25 - $61 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Providence

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1856

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Providence is a not-for-profit health system committed to providing a wide range of medical services, including primary care, urgent care, pediatrics, maternity care, cancer treatment, and specialized services like neurosurgery and orthopedics. They offer both in-person and virtual care through clinics and a mobile app, ensuring patients can access healthcare conveniently. With a mission rooted in compassion, dignity, and justice, Providence emphasizes serving those who are vulnerable and strives for excellence in healthcare delivery. They are involved in research and innovation, including genomic profiling and clinical trials to improve patient outcomes.

📋 Description

• Support clinical research programs across the Providence Health System • Develop Medicare Coverage Analyses for clinical trial protocols with billable services • Complete comprehensive Medicare Coverage Analyses aligned with Medicare's Clinical Trial Policy • Evaluate national medical guidelines, local practice guidelines, peer-reviewed publications, and local and national coverage determinations • Account for all billable services within clinical trial protocols • Partner with CTMS, Budget, and Billing Adjudication teams • Ensure compliance with federal regulations and internal policies • Report to the Coverage Analysis Manager • Collaborate with research entities within Providence

🎯 Requirements

• Bachelor's Degree in Healthcare Administration or related field, or 4 years of additional related experience • 2 years of direct experience in Coverage Analysis development and interpretation of Medicare requirements for research • 4 years of experience in research, billing, or healthcare administration preferred • Knowledge of Medicare's Clinical Trial Policy • Ability to interpret national medical guidelines, local practice guidelines, peer-reviewed publications, and local and national coverage determinations • Ability to collaborate with CTMS, Budget, and Billing Adjudication teams • Ability to comply with federal regulations and internal policies • Must uphold standards of confidentiality, attendance, and punctuality

🏖️ Benefits

• Retirement 401(k) Savings Plan with employer matching • Medical, dental, and vision health care benefits • Life insurance • Disability insurance • Paid parental leave • Vacation and holiday time off • Health-related time off benefits • Voluntary benefits • Well-being resources • Inclusive workplace and equal opportunities for advancement • Additional compensation may be available, including shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities