Clinical Trials Medicare Coverage Analyst

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Vitalief Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📦 Logistics

🏭 Manufacturing

💰 $2M Venture Round on 2023-04

Consulting • Logistics • Manufacturing

Vitalief Inc. is a company dedicated to transforming the clinical trial landscape by improving the value and contribution of trial sites throughout the drug development lifecycle. They specialize in offering consulting services, functional service provision (FSP), and workforce solutions to streamline clinical trials, enhance patient outcomes, and deliver value for Sponsors, Contract Research Organizations (CROs), and sites. With a focus on site operations and patient care in the life sciences, Vitalief serves academic sites, community health systems, independent sites, site networks, sponsors, and CROs. Their services address challenges in research and clinical trials, providing end-to-end solutions like strategic planning, resourcing models, training, and operational solutions. Vitalief is committed to delivering more efficient, high-quality clinical trials and driving innovation in the research industry.

📋 Description

• Conduct Medicare Coverage Analyses for oncology and non-oncology clinical trial protocols • Identify procedures and services billable to Medicare versus research-related services • Review protocols, schedules of events, and informed consent forms for CMS billing compliance • Develop, maintain, and validate OnCore calendar builds • Collaborate with Clinical Operations, Finance, Regulatory, and Study Teams on coverage decisions • Prepare coverage analysis documentation, summary tables, and billing justification reports • Advise study teams on Medicare coverage rules, billing risks, and recommendations • Support internal and external audits • Monitor CMS updates and industry best practices to optimize coverage analyses and study operations

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Medical Coding, Auditing, Finance, Accounting, Nursing, or a related field • Minimum 3 years of Medicare Coverage Analysis experience supporting clinical research studies for an Academic Medical Center or health/hospital system • Experience working on oncology clinical trial protocols • Strong understanding of CMS guidelines, Medicare billing compliance, and clinical trial operations • Ability to work independently and manage multiple protocols and deadlines simultaneously • Exceptional attention to detail, analytical skills, and problem-solving abilities • Strong written and verbal communication skills • Ability to explain complex billing concepts to non-technical stakeholders • Comfortable working in a fully remote environment with distributed teams • Proficiency in Microsoft Word, Excel, PowerPoint, Adobe, Teams, and SharePoint • Hands-on OnCore calendar build experience preferred but not required; training provided • Must currently live in the USA • Must answer employment visa sponsorship question

🏖️ Benefits

• 20 PTO days • 9 paid holidays • Company-paid life insurance • Short- and long-term disability • 401(k)-retirement plan • Robust healthcare options • Fully remote work arrangement • Training provided for OnCore calendar builds