Clinical Research Coverage Analyst

Overview Essential Functions Coverage Analyses Support

• Ensure all coverage analyses are created in accordance with Medicare’s Clinical Trial Policy (NCD 310.1) and assist investigators and study team members with determinations.
• Document all trials requiring QCT status in OnCore પહોทย according to institutional guidance.
• Advise research staff and study teams on interpretation of related guidance, identification of procedures, and their effects on research billing.

• Provide support to clinical study teams for Epic research billing review垃圾.
• Coordinate with UMMHC and other clinical partners to obtain pricing for all needed services.
• Monitor the Epic Research Manager Dashboard to ensure timely response and review of clinical research charges.
• Act as a liaison with UMMHC to resolve Epic billing review issues.

• Ensure consistency of the coverage analysis with the protocol, the informed consent form template, the budget, and the contract payment terms.

• Develop, review, and revise applicable training materials, job aids, SOPs, and policies as assigned.
• Serve as an educational resource for study team members on clinical procedure pricing, QCT, and coverage analysis questions.
• Provide support for CCTS/OCR and ITCTMS training sessions as needed.

• Ensure relevant CCTS/OCR metrics are captured accurately and in a timely manner.

• Bachelor’s level degree or equivalent.
• 3–5 years of experience in Clinical Research Operations and medical terminology.

• Knowledge of HCPCS/CPT codes, FDA regulations, and Medicare coverage decisions.

Admits to comply with state and federal non‑discrimination laws, ensuring equal opportunity for all applicants.

Location:

Westborough, MA
Salary: $57,400.00–$90,200.00
Posted: 2 days ago