Research Coverage Analyst

Providence • Tacoma, WA

3d • Remote

About The Position

The Research Coverage Analyst supports clinical research programs across Providence Health System by developing Medicare Coverage Analyses for clinical trial protocols that include billable services. The role collaborates with several research entities within Providence and reports to the Coverage Analysis Manager. Work is remote and open to candidates residing in Alaska, Washington, Montana, Oregon, California, specified areas near Levelland, Lubbock, or Plainview, Texas, or an area within a reasonable commuting distance of Hobbs, New Mexico.

The analyst develops comprehensive Medicare Coverage Analyses in alignment with Medicare’s Clinical Trial Policy, national medical guidelines, local practice guidelines, peer-reviewed publications, and local and national coverage determinations. The analysis encompasses all billable services within the clinical trial protocol. The role partners with CTMS, Budget, and Billing Adjudication teams to support compliance with federal regulations and internal policies, and upholds confidentiality, attendance, and punctuality standards.

Requirements

• Bachelor’s degree in Healthcare Administration or a related field, or four additional years of related experience.
• Two years of direct experience in Coverage Analysis development and interpretation of Medicare requirements for research.

Nice To Haves

• Four years of experience in research, billing, or healthcare administration.

Responsibilities

• Develop comprehensive Medicare Coverage Analyses for clinical trial protocols that include billable services.
• Ensure analyses align with Medicare’s Clinical Trial Policy, national medical guidelines, local practice guidelines, peer-reviewed publications, and local and national coverage determinations.
• Assess all billable services within each clinical trial protocol.
• Partner with CTMS, Budget, and Billing Adjudication teams to support compliance with federal regulations and internal policies.
• Uphold standards of confidentiality, attendance, and punctuality.

Benefits

• The company describes its benefits as designed to support employees and their families in staying well, growing professionally, and achieving financial security. Specific benefit offerings are not listed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level