Senior Financial Analyst - Clinical Research - FT - Days - MPG Corp - Hybrid Eligible

Memorial Healthcare System - Hollywood, FL

Full-time - Mid Level

Hollywood, FL

Hospitals

About the position

At Memorial Healthcare System, we are dedicated to improving the health, well-being, and quality of life for the people entrusted to our care. The Senior Financial Analyst will serve as a subject matter expert in coverage analysis, budget analysis, and negotiation with industry sponsors. This role is crucial in creating and maintaining internal and external research billing policies, determining applicable review requirements, and facilitating timely budget approval. The Senior Financial Analyst will lead the development, implementation, analysis, and validation of clinical trial financial systems design and operational workflows to optimize performance and productivity. The responsibilities include ensuring that electronic and paper study files are created, updated, stored, and maintained according to established office practices and MHS record retention policies, from initial contact to study closeout and beyond. The analyst will review and scrub patient bills to ensure claims are processed accordingly and routed to the correct payor. A comprehensive and independent analysis of clinical trial protocols and other study documents, including the research study budget, contract, informed consent, pharmacy and lab manuals, and other supporting documentation, will be performed. Additionally, the Senior Financial Analyst will conduct detailed coverage analysis of research procedures in alignment with CMS rules and develop audit-ready study billing grids. They will assist Research Specialists in determining study status under Medicare coverage rules and in identifying services as non-covered research-only, routine care, investigational items, and services along with their associated costs. The role also involves analyzing industry sponsor budget proposals, clinical trial protocols, and manuals to develop and negotiate comprehensive study budgets and payment terms.

Responsibilities

• Lead the development, implementation, analysis and validation of clinical trial financial systems design and operational workflows to optimize performance and productivity.
• Ensure electronic and paper study files are created, updated, stored, and maintained according to established office practices and MHS record retention policies, from initial contact to study closeout and beyond.
• Review and scrub patient bills to ensure claims are being processed accordingly and routed to the correct payor.
• Perform comprehensive and independent analysis of clinical trial protocols and other study documents, including the research study budget, contract, informed consent, pharmacy and lab manuals, and other supporting documentation.
• Perform detailed coverage analysis of research procedures in alignment with CMS rules and develop audit-ready study billing grids.
• Assist Research Specialists in determining study status under Medicare coverage rules and in identifying services as non-covered research-only, routine care, investigational items, and services along with their associated costs.
• Analyze industry sponsor budget proposal, clinical trial protocol and manuals to develop and negotiate comprehensive study budgets and payment terms.

Requirements

• Bachelor's degree in finance, science, business, healthcare administration or related field experience (Required).
• Three (3) years experience with coverage analysis, clinical trial budget development and negotiation, clinical research study coordination or management, health system operations, or other related research or healthcare experience.