Providence - Renton, WA

posted 4 months ago

Full-time - Mid Level
Renton, WA
10,001+ employees
Hospitals

About the position

The Research Coverage Analyst is a journey level position that supports the clinical research programs across the Providence Health System by developing a Medicare Coverage Analysis for all clinical trial protocols that include billable services. This role is crucial in ensuring that the clinical trials conducted within the organization are compliant with Medicare requirements, thereby facilitating the financial aspects of research activities. The analyst will work closely with various research entities within Providence, collaborating to gather necessary information and insights that will inform the coverage analysis process. This position is designed for individuals who are passionate about healthcare research and are looking to contribute to the advancement of clinical trials through meticulous analysis and interpretation of coverage policies. In this role, the Research Coverage Analyst will be responsible for reviewing clinical trial protocols, identifying billable services, and determining the appropriate Medicare coverage for these services. This involves a thorough understanding of Medicare regulations and the ability to interpret complex guidelines to ensure compliance. The analyst will also be expected to communicate findings and recommendations effectively to stakeholders, including clinical researchers and administrative staff, to support the successful execution of clinical trials. The position requires a detail-oriented approach, as accuracy in coverage analysis is critical to the financial viability of research projects. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. This role is an opportunity to be part of a dedicated team that is committed to improving patient outcomes through innovative research and comprehensive support services.

Responsibilities

  • Develop Medicare Coverage Analysis for clinical trial protocols that include billable services.
  • Collaborate with various research entities within Providence to gather necessary information for coverage analysis.
  • Review clinical trial protocols to identify billable services and determine Medicare coverage.
  • Communicate findings and recommendations to stakeholders, including clinical researchers and administrative staff.
  • Ensure compliance with Medicare regulations and guidelines in all coverage analysis activities.

Requirements

  • Bachelor's Degree in Healthcare Administration or related field or 4 years additional related experience.
  • 3 years Direct experience in Coverage Analysis development and interpretation of Medicare requirements for research.

Nice-to-haves

  • 4 years Experience in research, billing, or healthcare administration.

Benefits

  • Best-in-class benefits designed to support you and your family in staying well, growing professionally, and achieving financial security.
  • Opportunities for additional compensation such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
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