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 reports to the Coverage Analysis Manager and collaborates with several research entities within Providence.

The analyst completes comprehensive Medicare Coverage Analyses for all billable services in clinical trial protocols. Analyses must align with Medicare’s Clinical Trial Policy, national medical guidelines, local practice guidelines, peer-reviewed publications, and local and national coverage determinations. The role also partners with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies. The analyst is expected to uphold 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 Medicare Coverage Analyses for clinical trial protocols that include billable services.
• Complete comprehensive analyses of all billable services in clinical trial protocols in accordance with Medicare’s Clinical Trial Policy, medical and practice guidelines, peer-reviewed publications, and coverage determinations.
• Partner with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.
• Uphold standards of confidentiality, attendance, and punctuality.

Benefits

• Providence offers benefits designed to support employees and their families, professional growth, and financial security. Specific benefit offerings are not listed.
• Benefits and paid time off may vary based on legal employer, FTE, union, location, time-off plan policies, and availability of health and welfare benefit plans.

What This Job Offers

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