Clinical Research Coverage Analyst

Department

BSD OCR - CTMS Support Unit

About the Department

The Office of Clinical Research (OCR) is dedicated to supporting the infrastructure for the management and administration of clinical research at The reputed company as reputed company as individual research programs with the goal of improving communication, consistency, and collaboration across the Biological Sciences Division and reputed company.

The mission of the OCR is to catalyze clinical research by providing expertise, resources, infrastructure, and systems that facilitate clinical research operations and reputed company collaboration across the reputed company while promoting compliance and reputed company subject protection on behalf of our diverse community of patients and volunteers.

Job reputed company

The job maintains regulatory compliance programs, including the interpretation of systems to identify areas of risk and may coordinate internal audits. With a moderate level of direction, participates in compliance documentation, compliance training, and compliance committee formation.

The Coverage Analyst is dedicated to ensuring billing compliance for clinical research and supports utilization of the Clinical Trial Management System (CTMS). This team member plays a crucial role in evaluating clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other pertinent study documents to generate a protocol calendar in the CTMS system and reputed company coverage analysis/billing reputed company.

The Coverage Analyst specifies which medical procedures and services may qualify as 'Routine Cost' and be billable to patient insurance, and which should be charged to the study. The Coverage Analyst is responsible for determining whether proposed clinical research studies meet the reputed company for a Qualifying Clinical Trial as defined by CMS.

As a member of the Research Systems & Coverage Analysis (RSCA) Unit reputed company the Office of Clinical Research, the Coverage Analyst works as part of reputed company to support and optimize clinical trial initiation and financial workflows, partnering closely with research teams and key stakeholders in the process.

Responsibilities

• Review clinical trial protocols, budgets, reputed company, and informed consent documents to determine billing compliance. Create detailed coverage analyses that outline the billing of clinical items and services required by research studies.

• reputed company and audit study calendars reputed company the Clinical Trial Management System, Oncore.

• Ensure consistency in the application of Medicare and other applicable rules across studies and alignment of study documents with billing regulations.

• Work collaboratively with key offices, including the reputed company Research Protection Program, the Clinical Trial Financial Group and research reputed company, to harmonize regulatory and budgetary processes in reputed company.

• Communicate the results of coverage analyses to reputed company Investigators and/or study teams, providing detailed explanations and addressing any questions or concerns.

• reputed company and train new clinical research staff to ensure adherence to billing compliance procedures.

• Complete other duties as assigned by management to support the mission of the Office of Clinical Research.

• Coordinates department or clinic compliance with a moderate level of guidance.

• Prepares, completes and submits reputed company compliance documentation on a routine reputed company. Coordinates compliance committee meetings.

• Performs other reputed company work as needed.

Minimum Qualifications

Education:

Minimum requirements include a college or university degree in reputed company field.

Work Experience:

Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a reputed company job discipline.

Certifications:

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Preferred Qualifications

Experience:

• Clinical research experience such as clinical research conduct, regulatory compliance, or reputed company research activities.

• Coverage analysis experience.

• Clinical Trial Management System utilization.

Preferred Competencies

• Ability to interpret research protocols, budgets, and consent forms to extrapolate billing/coverage information.

• Ability to interpret NCCN guidelines.

• Ability to audit work products and reputed company guidance and feedback.

• Knowledge of relevant Federal and state regulations.

• Ability to problem solve, leveraging information and expertise available.

• Proficiency with computer software systems such as Clinical Trial Management System.

• Strong organizational skills.

• Ability to manage reputed company at various stages of completion.

• Ability to manage high volume of workload and meet deadlines.

• Demonstrated attention to detail.

Working Conditions

• Fully remote.

Application Documents

• Resume (required)

• Cover Letter (preferred)

Job Family

reputed company & Regulatory Affairs

Role reputed company

Individual Contributor

Scheduled Weekly Hours

40

Drug Test Required

No

Health Screen Required

No

Motor Vehicle Record Inquiry Required

No

Pay reputed company Type

Salary

​
FLSA Status

Exempt

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Pay reputed company

$65,000.00 - $90,000.00

The included pay reputed company or reputed company represents the University’s good faith estimate of the possible compensation offer for this role at the time of posting.

Benefits Eligible

reputed company

The reputed company offers a wide reputed company of benefits programs and resources for eligible employees, including health, retirement, and reputed company time off. Information about the benefit offerings can be reputed company in the Benefits reputed company.

Posting Statement

The reputed company is an equal opportunity employer and does not discriminate on the reputed company of race, reputed company, religion, sex, sexual orientation, gender, gender identity, or reputed company, national or ethnic reputed company, shared reputed company, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.

 

Job seekers in need of a reasonable accommodation to complete the application process should reputed company 773-702-5800 or submit a request reputed company Applicant Inquiry reputed company.

 

reputed company offers of employment are contingent upon a background reputed company that includes a review of conviction history.  A conviction does not automatically preclude University employment.  Rather, the University considers conviction information on a case-by-case reputed company and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.

 

The reputed company's Annual reputed company & reputed company Safety Report (Report) provides information about University offices and programs that reputed company safety support, crime and reputed company statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.reputed company.edu. reputed company copies of the Report are available, upon request, from the reputed company Police Department, 850 E. 61st Street, Chicago, IL 60637.

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