Clinical Research Coverage Analyst

Explore the Possibilities and Advance with Us.

When you join the UMass Chan Medical School team, you join us in advancing together to improve the health and well‑being of our diverse communities throughout Massachusetts and across the US and the world. Together, we lead in education, research, health care delivery, and public service. Your life’s work is more than a career. It’s an expression of your passion, intellect, skill, and drive.

UMass Chan’s commitment to excellence, innovation, competitive benefits, and work‑life integration will allow you to build a professionally rewarding career as we work together to better or improve the health of people around the globe.

Clinical Research Coverage Analyst Job Number
:
Category: Administrative Professional
Location
:
Worcester, MA
Shift: Day
Exempt/Non‑Exempt: Exempt
Business Unit: UMass Chan Medical School
Department: School - CCTS‑Clinical Research Ops - W826020
Job Type: Full‑Time
Union Code: Non Union Position
-W60
- Non Unit Professional
Num. Openings
: 1
Post Date
:
Jan. 13, 2026
Work Location: Hybrid
Salary Minimum
: USD $60,000.00/Yr.
Salary Maximum
: USD $72,000.00/Yr.

POSITION SUMMARY:

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.

ESSENTIAL FUNCTIONS:

Coverage Analyses Support

• Responsible for ensuring that all coverage analyses are created in accordance with Medicare’s clinical Trial Policy (NCD 310.1). Assists investigator and study team member with determination.
• Responsible for ensuring that all trials requiring QCT status are documented in OnCore according to institutional guidance.
• Advise research staff/study teams with the interpretation of related guidance, appropriate identification of procedures and their effects on research billing.
• Provide support to clinical study teams for Epic research billing review.
• Coordinate with UMMHC and other clinical partners to obtain pricing for all needed services.
• Monitor Epic Research Manager Dashboard to ensure timely response/review of clinical research charges.
• Act as a liaison with UMMHC to resolve Epic billing review issues.

Quality Assurance

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

Education & Training

• Develop review and revise applicable training materials, job aids, SOPs and policies as assigned.
• Act as educational resource for study team members for clinical procedure pricing, QCT & Coverage Analysis questions.
• Provide support for CCTS/OCR and ITCTMS training sessions as needed.

Reporting

• Provide support to ensure that relevant CCTS/OCR metrics are captured accurately and in a timely manner.

REQUIRED QUALIFICATIONS:

• Bachelor’s Level Degree or equivalent.
• 3 – 5 years experience in Clinical Research Operations, medical terminology.

PREFERRED QUALIFICATIONS:

HCPCS/CPT, FDA regulations, knowledge of Medicare Coverage decisions.

Posting Disclaimer:

This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution.

In alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and retirement). At UMass Chan Medical School, final base salary offers are determined based on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams.

Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the midrange to allow for future growth and development within the role.

In addition to base pay, UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan.

UMass Chan welcomes all qualified applicants and complies with all state and federal anti‑discrimination laws.