Senior Clinical Research Financial Analyst

Banner Health

1d•Remote

About The Position

Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care – and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you. Banner MD Anderson Cancer Center (BMDACC) Clinical Trials combines the expertise of Banner Health, one of the country’s largest non-profit hospital systems, with the internationally renowned MD Anderson Cancer Center. We provide the quality care of MD Anderson to Arizona and Colorado patients, ensuring they benefit from top-tier cancer treatment close to home. BMDACC conducts Phases I-III clinical trials covering all Oncology disease groups with the goal to provide support to the physician investigators and to provide trial treatment options to the patients in a safe and ethical manner, while ensuring compliance to the FDA, billing entities, and institutional regulations. As a Senior Clinical Research Financial Analyst, you will play a critical role in ensuring financial accuracy and compliance across clinical research studies. Your responsibilities will include conducting comprehensive Medicare Coverage Analysis for new studies and amendments, ensuring alignment with regulatory requirements. You will build out Protocol Cost Assessments (PCAs) based on the Schedule of Activities (SOA) outlined in study protocols, maintaining consistency and accuracy between both documents. Additionally, you will complete detailed justifications to support payment determinations for services and items, clearly documenting the rationale behind coverage decisions. You will be responsible for updating PCA templates as changes occur, ensuring all documentation reflects current standards and requirements. Your role will involve leading budget negotiations for protocol amendments and reviewing Clinical Trial Management System (CTMS) budget amendment rebuilds to verify accuracy. Furthermore, you will monitor and respond to the finance general email inbox, providing timely follow-up and resolution to inquiries and issues as they arise. This is a full-time remote role, 8:00am -to 4:30pm, Monday through Friday Banner Alzheimer's Institute (BAI) was established in 2006 as Banner Health's first Center of Excellence. Banner Sun Health Research Institute (BSHRI) was founded in 1986. Our team is uniquely, passionately, and strategically committed to ending Alzheimer's disease and other neurodegenerative disorders without losing another generation, advancing oncology research to improve cancer prevention and treatment outcomes, and providing an unparalleled model of care for families facing these devastating diseases. Banner Research is committed to improving people's lives through comprehensive patient care and advances that capitalize on the best biomedical research. We intend to make a transformational difference in Alzheimer's disease, other neurodegenerative disorders, and oncology research and care. POSITION SUMMARY This position provides pre-initiation research study evaluation including cost, coverage, and overall financial benefit analysis. Ensures analytical evaluations provide relevant and complete measures of cost, revenue, and billing projections and processing. Ensures regulatory compliance and financial coverage. Develops and maintains effective project relationships. Translates medical service priorities into effective research development activities and support allocations to ensure research leads to desired outcomes consistent with organizational goals.

Requirements

Bachelor’s degree in business or healthcare related field or an equivalent combination of education and experience.
Three to five years related experience working directly with clinical research charge review and billing, coverage analysis, and clinical trials budgeting and negotiations.
Proven analytical and modeling skills.
Working knowledge of computer spreadsheets and other computer applications.

Nice To Haves

Proven working knowledge of medical terminology and experience with CPT, HCPCS, ICD10 codes as they relate to clinical research billing.
Experience utilizing a Clinical Trials Management System.
Additional related education and/or experience preferred.

Responsibilities

Completes Cost and Coverage Analysis. Completes CCA for all BH research studies utilizing clinical skills, good clinical practices and knowledge of research and government regulations to evaluate each new study and determine appropriate coverage and billing requirements.
Serves as a knowledgeable consultant to guide other personnel on the determinations of what patient care items and services are considered standard of care.
Creates study budget for any and all research activity occurring within a BH facility to accurately determine relevant costs associated with all research activity.
Negotiates study budget, with study Sponsor integrating Medicare Coverage rules and allowances into contract to ensure proper reimbursement and study billing requirements are met.
Assesses study financial risk/benefit ratio.
Ensures compliance with required federal, state, funding source, and other applicable governing entities regarding regulations, laws, and statutes governing the scope of research activity.
Accesses the Clinical Trials Management System to obtain names of human subjects to ensure that research related charges are billed appropriately.
Acts as a liaison between finance departments, patient financial services, facility research directors and system reimbursement services for the purpose of communicating information regarding the National Coverage Decision for clinical trials and other federal research regulations.
Serves as a resource and provides leadership assistance for research participants; asks questions regarding financial coverage issues to ensure service excellence.
Performs for cause and random patient account audits to ensure compliance.
Coordinates closely with Banner Research and University of Arizona staff in the study approval process; meets project timelines and department goals of optimal clinical, operational, financial and satisfaction outcomes.
Interacts with sponsors, physicians, colleagues, facility administrators, facility CFOs and patient financial services to ensure effective communication and project coordination.
Translates medical service priorities into effective research development activities and support allocations to ensure research leads to desired outcomes consistent with organizational goals.
Leads and administers research projects by promoting research and collegiality between physician investigators, staff, facility administrators, and department heads.
Leads, facilitates and or participates in task forces or councils to plan, implement and coordinate programs and/or activities for the organization.
This position is responsible for evaluating approximately 100 new study proposals per year with a research budget in excess of $3 million.
Negotiates study budget, integrating Medicare Coverage rules and allowances into contract to ensure proper reimbursement and study billing requirements are met.
Translates medical service priorities into effective research development activities and support allocations to ensure research leads to desired outcomes consistent with organizational goals.
Conducting comprehensive Medicare Coverage Analysis for new studies and amendments, ensuring alignment with regulatory requirements.
Build out Protocol Cost Assessments (PCAs) based on the Schedule of Activities (SOA) outlined in study protocols, maintaining consistency and accuracy between both documents.
Complete detailed justifications to support payment determinations for services and items, clearly documenting the rationale behind coverage decisions.
Updating PCA templates as changes occur, ensuring all documentation reflects current standards and requirements.
Leading budget negotiations for protocol amendments and reviewing Clinical Trial Management System (CTMS) budget amendment rebuilds to verify accuracy.
Monitor and respond to the finance general email inbox, providing timely follow-up and resolution to inquiries and issues as they arise.