Clinical Research Coverage Analyst

University of Massachusetts Medical School•Worcester, MA

6h•Hybrid

About The Position

Under the general direction of the Director, Office of Clinical Research or designee, the Clinical Research Coverage Analyst will provide day-to-day support and guidance for clinical investigators and research staff when conducting Medicare coverage analysis determinations. The position will also act as a liaison with all UMMS clinical partners, providing support to study team members to ensure electronic medical record clinical research charge review is conducted in accordance with applicable UMMS policies and procedures.

Requirements

Bachelor's Level Degree or equivalent
3 - 5 years Experience in Clinical Research Operations
Medical terminology

Nice To Haves

HCPCS/CPT
FDA regulations
knowledge of Medicare Coverage decisions

Responsibilities

Ensuring that all coverage analyses are created in accordance with Medicare's clinical Trial Policy (NCD 310.1).
Assisting investigator and study team members with determination.
Ensuring that all trials requiring QCT status are documented in OnCore according to institutional guidance.
Advising research staff/study teams with the interpretation of related guidance, appropriate identification of procedures and their effects on research billing.
Providing support to clinical study teams for Epic research billing review.
Coordinating with UMMHC and other clinical partners to obtain pricing for all needed services.
Monitoring Epic Research Manager Dashboard to ensure timely response/review of clinical research charges.
Acting as a liaison with UMMHC to resolve Epic billing review issues.
Ensuring consistency of the coverage analysis with the protocol, the informed consent form template, the budget and the contract payment terms.
Developing, reviewing, and revising applicable training materials, job aids, SOPs and policies as assigned.
Acting as an educational resource for study team members for clinical procedure pricing, QCT & Coverage Analysis questions.
Providing support for CCTS/OCR and ITCTMS training sessions as needed.
Providing support to ensure that relevant CCTS/OCR metrics are captured accurately and in a timely manner.