Clinical Trials Medicare Coverage Analyst
关于 VITALIEF,维塔利夫是一家咨询和专业服务公司，与临床研究网站，赞助商和 CRO 合作，以提高试验激活性，运营性能和员工准备。通过将临床研究专业知识结合到运营和业务卓越度，我们帮助组织简化流程，降低成本，加速时间表并增强患者结果。THE ROLE 我们正在寻找一个全职，充分受益的维塔利弗员工，以完全远程能力担任临床试验医疗保险覆盖分析师，支持维塔利普客户，芝加哥地区领先的学术临床研究中心。理想的候选人带来了医疗保险收费指南，临床试验运行，在肿肿瘤学协议和 OnCore 日历构建工作经验方面的强大的专业知识，并将确保合规性，同时支持临床试题收费运作和咨询关键利益相关者。为什么加入 Vitalief? ·产生影响：支持领先的 AMC 和卫生系统改善临床试点财务绩效和合规性。·创新驱动：帮助现代化使用技术和最佳实践的临床试卷预算和收费流程。· 人民文化：在促进增长，创新和合作的环境中繁荣。·综合优势：享受20天的 PTO,9个付费假期，公司支付的生活保险，短期和长期残疾，401 (k) 年度退休计划以及强大的医疗保健选择。·灵活和远程友好：这是100%远程职位。·薪资范围：75,000美元至100,000美元 根据经验水平。关键责任 ·对肿肿瘤学和非瘤临床试验协议进行医学覆盖分析 (MCA),确定哪些程序和服务可收取医疗保险同意与研究相关者之间的结算。·审查临床试题协议，活动日程和信息表格以确保计票符合 CMS 规定。· 开发，维护和验证对临床试验访问，程序和研究里程碑的 OnCore 日历构建。· 与包括临床运营，金融，监管和研究团队在内的跨职业团队合作，为覆盖决策提供指导和澄清。· 为内外利益相关者准备并保持覆盖分析文档，总结表以及支付理由报告。·作为医疗保险部门专家。
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ABOUT VITALIEF
Vitalief is a consulting and professional services firm that partners with clinical research sites, sponsors, and CROs to improve trial activation, operational performance, and workforce readiness. By combining clinical research expertise with operational and business excellence, we help organizations streamline processes, reduce costs, accelerate timelines, and enhance patient outcomes.
THE ROLE
We are seeking a full-time, fully benefited Vitalief employee to serve as a Clinical Trials Medicare Coverage Analyst in a fully remote capacity, supporting Vitalief’s client, a leading academic clinical research center in the Chicago area. The ideal candidate brings strong expertise in Medicare billing guidelines, clinical trial operations, experience working on Oncology protocols, and OnCore calendar builds, and will ensure compliance while supporting clinical trial billing operations and advising key stakeholders.
Why Join Vitalief?
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Make an Impact: Support leading AMCs and health systems in improving clinical trial financial performance and compliance.
- Innovation-Driven: Help modernize clinical trial budgeting and billing processes using technology and best practices.
- People-First Culture: Thrive in an environment that fosters growth, innovation, and collaboration.
- Comprehensive Benefits: Enjoy 20 PTO days, 9 paid holidays, company-paid life insurance, short- and long-term disability, a 401(k)-retirement plan, and robust healthcare options.
- Flexible & Remote-Friendly: This is a 100% remote position.
- Salary Range: $75,000 to $100,000 – Based on experience level.
KEY RESPONSIBILITIES
· Conduct Medicare Coverage Analyses (MCA) for a mixture of oncology and non-oncology clinical trial protocols identifying which procedures and services are billable to Medicare versus those considered research related.
- Review clinical trial protocols, schedules of events, and informed consent forms to ensure billing compliance with CMS regulations.
- Develop, maintain, and validate OnCore calendar builds for clinical trial visits, procedures, and study milestones.
- Collaborate with cross-functional teams including Clinical Operations, Finance, Regulatory, and Study Teams to provide guidance and clarification on coverage decisions.
- Prepare and maintain coverage analysis documentation, summary tables, and billing justification reports for both internal and external stakeholders.
- Serve as a subject matter expert for Medicare coverage rules, assisting study teams in identifying potential billing risks and providing actionable recommendations.
- Support internal and external audits, ensuring all coverage decisions are well-documented and compliant with federal and sponsor requirements.
- Keep current with CMS updates and industry best practices, applying knowledge to optimize coverage analyses and study operations.
QUALIFICATIONS
· 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 (AMC) or health (hospital) system.
- Must have experience working on oncology clinical trial protocols.
- Hands-on experience developing, maintaining, and validating OnCore calendar builds for clinical trial visits, procedures, and study milestones is preferred – but not required as training will be provided.
- Strong understanding of CMS guidelines, Medicare billing compliance, and clinical trial operations.
- Demonstrated 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, with the ability to explain complex billing concepts to non-technical stakeholders.
- Comfortable working in a fully remote environment, collaborating effectively with distributed teams across multiple locations.
- Proficiency in document and data management tools, including Microsoft Word, Excel, PowerPoint, Adobe, Teams, and SharePoint.
PHYSICAL DEMANDS: Standing, sitting, walking, visual perception, talking and hearing. Lifting up to 20lbs.
Originally posted on Himalayas