Clinical Trial Coverage Analyst

100% REMOTE - MUST WORK PST HOURS!

Description

A coverage analysis harmonizes the clinical trials protocol, budget, contract and informed consent to determine what is billable to insurance based on federal/state billing regulations including Medicare’s National Coverage Decision (NCD) 310.1 as well as other third-party billing rules. It ensures consistent application of Medicare rules across studies, and consistent application of study documents. The office works with other key offices, including the Human Research Protection Program and the Office of Clinical Trials Administration to assure harmonization of regulatory and budgetary processes in clinical trials.

Additional Skills Qualifications

• Six years of related experience, education/training, OR a Bachelor’s degree in related area plus two years of related experience/training.
• Ability to interpret research contracts, study budgets, clinical protocols, and consent forms to extrapolate billing/coverage data.
• Proficiency with Medical Terminology
• Effective, efficient and tactful oral and written communication skills.
• Knowledge of clinical research including the conduct of commercial, federal and PI initiated protocols. Demonstrated experience working with clinical trials research activities, regulatory compliance, guidelines related to IRB informed consent, as well as interpreting and comprehending complex clinical research protocols, activities and guidelines.
• Knowledge of relevant Federal and State regulations, and policies.
• Ability to solve problems, issues; listen, interpret and confirm understanding of others communications; and be objective.
• Ability to work in a team oriented setting, to prioritize work, and to follow through on routine assignments with minimal direction.
• Proficiency with computers, including the ability to operate personal computer software with sophisticated retrieval, storage, and merging capabilities.
• Strong organizational skills, the ability to multi-task, and work with frequent interruptions. Demonstrated ability to manage a high volume workload and meet deadlines. Demonstrated resourcefulness and attention to detail.
  
  

Experience Level

Expert Level

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity Inclusion

At Actalent, Diversity And Inclusion Are a Bridge Towards The Equity And Success Of Our People. DEI Are Embedded Into Our Culture Through

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people
  
  

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email for other accommodation options.