Analyst II - Clinical Trials Coverage
About The Position
Under general supervision, the Clinical Trial Coverage Analyst II independently conducts comprehensive coverage analyses of moderate to complex clinical research studies. This position ensures consistent application of billing rules and institutional policies and serves as a resource for investigators and research staff regarding coverage determinations. The Analyst II identifies and resolves issues related to billing compliance, contributes to process improvements, and may provide training or mentorship to junior analysts. Work is performed with accountability for accuracy, timeliness, and collaboration across multiple research and compliance stakeholders.
Requirements
- Bachelors in healthcare administration, nursing, business, life sciences, or related field OR equivalent combination of education and related experience may be considered in lieu of degree
- Masters Public Health, healthcare administration, business, or related field
- 3 years in clinical research, healthcare billing/compliance, or related field with direct responsibility for clinical trial coverage analyses or equivalent functions.
- Experience Mentoring or training peers; demonstrated ability to interpret complex billing guidelines and payer policies
Nice To Haves
- Certified Professional Coder (CPC) - Certification Preferred or Certified Outpatient Coder - Certification Preferred
- Certification in research compliance (e.g., SOCRA, ACRP, NAACO, or equivalent Preferred
Responsibilities
- Independently perform comprehensive coverage analyses: Review protocols, informed consent forms, and budgets of moderate to complex studies.
- Apply regulatory requirements and institutional policies with minimal oversight.
- Document clear and accurate billing designations for all study services
- Serve as a compliance and resource partner: Provide guidance to investigators and research staff on billing compliance.
- Address complex or ambiguous billing questions, escalating only when needed.
- Ensure alignment of coverage analyses with downstream billing processes.
- Identify and resolve issues: Detect potential areas of non-compliance or misalignment in billing designations.
- Recommend corrective actions or process adjustments to prevent errors.
- Contribute to team development and improvement: Share knowledge and assist with training of junior analysts.
- Support workflow optimization and standardization efforts.
- Performs other duties as assigned.
Benefits
- Nine acute-care hospitals
- Over 200 primary, specialty and urgent care centers
- More than 17,000 team members and 4,000 medical staff
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
