Clinical Trials Medicare Coverage Analyst
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Job Description
Medicare coverage analyst ensuring compliant billing for oncology and non-oncology clinical trials. Supporting Vitalief’s academic research clients with coverage analyses, OnCore builds, and audit readiness.
Responsibilities:
- Conduct Medicare Coverage Analyses for oncology and non-oncology clinical trial protocols
- Identify procedures and services billable to Medicare versus research-related services
- Review protocols, schedules of events, and informed consent forms for CMS billing compliance
- Develop, maintain, and validate OnCore calendar builds
- Collaborate with Clinical Operations, Finance, Regulatory, and Study Teams on coverage decisions
- Prepare coverage analysis documentation, summary tables, and billing justification reports
- Advise study teams on Medicare coverage rules, billing risks, and recommendations
- Support internal and external audits
- Monitor CMS updates and industry best practices to optimize coverage analyses and study operations
Requirements:
- Bachelor’s degree in Healthcare Administration, Medical Coding, Auditing, Finance, Accounting, Nursing, or a related field
- Minimum 3 years of Medicare Coverage Analysis experience supporting clinical research studies for an Academic Medical Center or health/hospital system
- Experience working on oncology clinical trial protocols
- Strong understanding of CMS guidelines, Medicare billing compliance, and clinical trial operations
- Ability to work independently and manage multiple protocols and deadlines simultaneously
- Exceptional attention to detail, analytical skills, and problem-solving abilities
- Strong written and verbal communication skills
- Ability to explain complex billing concepts to non-technical stakeholders
- Comfortable working in a fully remote environment with distributed teams
- Proficiency in Microsoft Word, Excel, PowerPoint, Adobe, Teams, and SharePoint
- Hands-on OnCore calendar build experience preferred but not required; training provided
- Must currently live in the USA
- Must answer employment visa sponsorship question
Benefits:
- 20 PTO days
- 9 paid holidays
- Company-paid life insurance
- Short- and long-term disability
- 401(k)-retirement plan
- Robust healthcare options
- Fully remote work arrangement
- Training provided for OnCore calendar builds
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